Provider Demographics
NPI:1770726424
Name:MURPHY BROWN, MARY ELIZABETH (OT/L)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:MURPHY BROWN
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:E;OZABETH
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:612 STOWE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1702
Mailing Address - Country:US
Mailing Address - Phone:516-868-8006
Mailing Address - Fax:
Practice Address - Street 1:612 STOWE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1702
Practice Address - Country:US
Practice Address - Phone:516-868-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002766225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics