Provider Demographics
NPI:1578825907
Name:MURPHY, SANDRA RAE
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:RAE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-9733
Mailing Address - Country:US
Mailing Address - Phone:607-324-0230
Mailing Address - Fax:
Practice Address - Street 1:9 EAST AVE
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-9733
Practice Address - Country:US
Practice Address - Phone:607-324-0230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist