Provider Demographics
NPI:1689461444
Name:MURRAY, MARIA (RD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PEACHTREE LN
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1308
Mailing Address - Country:US
Mailing Address - Phone:718-309-9225
Mailing Address - Fax:
Practice Address - Street 1:26 PEACHTREE LN
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1308
Practice Address - Country:US
Practice Address - Phone:718-309-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY914236133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered