Provider Demographics
NPI:1649593641
Name:MURRAY, ZENAIDA INES
Entity Type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:INES
Last Name:MURRAY
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 1:1200 E 53RD ST
Mailing Address - Street 2:APT 2H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2357
Mailing Address - Country:US
Mailing Address - Phone:732-558-8895
Mailing Address - Fax:
Practice Address - Street 1:1200 E 53RD ST
Practice Address - Street 2:APT 2H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2357
Practice Address - Country:US
Practice Address - Phone:732-558-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211841-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse