Provider Demographics
NPI:1649275413
Name:MURPHY, TYRONE J (MA, CNS,FNP,PHD)
Entity type:Individual
Prefix:DR
First Name:TYRONE
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MA, CNS,FNP,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 FRANKLIN AVE
Mailing Address - Street 2:STE 211
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5815
Mailing Address - Country:US
Mailing Address - Phone:151-687-7783
Mailing Address - Fax:516-877-2038
Practice Address - Street 1:14 MARLOWE RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1128
Practice Address - Country:US
Practice Address - Phone:151-659-3078
Practice Address - Fax:516-877-2038
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333000-1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional