Provider Demographics
NPI:1609805472
Name:BOOKHARDT-MURRAY, LOIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:J
Last Name:BOOKHARDT-MURRAY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:85 W BURNSIDE AVE
Mailing Address - Street 2:MORRIS HEIGHTS HEALTH CENTER 3RD FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4015
Mailing Address - Country:US
Mailing Address - Phone:718-483-1270
Mailing Address - Fax:718-294-6912
Practice Address - Street 1:85 W BURNSIDE AVE
Practice Address - Street 2:MORRIS HEIGHTS HEALTH CENTER 3RD FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4015
Practice Address - Country:US
Practice Address - Phone:718-483-1270
Practice Address - Fax:718-294-6912
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY169908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01072962Medicaid
NYA400116465Medicare PIN