Provider Demographics
NPI:1184123739
Name:MARILYN BUTLER-MURPHY,DPM,LLC
Entity type:Organization
Organization Name:MARILYN BUTLER-MURPHY,DPM,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER-MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-627-2724
Mailing Address - Street 1:849 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2842
Mailing Address - Country:US
Mailing Address - Phone:516-627-2724
Mailing Address - Fax:516-627-2749
Practice Address - Street 1:849 PARK AVE
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2842
Practice Address - Country:US
Practice Address - Phone:516-627-2724
Practice Address - Fax:516-627-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00842815Medicaid