Provider Demographics
NPI:1659300283
Name:MURPHY, CHRISTINE MARTHA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARTHA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:MURPHY KELLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2546 BALLTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1079
Practice Address - Country:US
Practice Address - Phone:518-374-1444
Practice Address - Fax:518-374-0491
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189030207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000490814002OtherBSNENY
NY200091OtherSENIOR WHOLE HEALTH
NY7582605OtherAETNA
NY01911004Medicaid
NY10030181OtherCDPHP
NY57N211OtherEMPIRE BC
NY070119000060OtherFIDELIS
NY11599OtherMVP
NY47347OtherGHI/HMO
NY7582605OtherAETNA
NY47347OtherGHI/HMO