Provider Demographics
NPI:1831256932
Name:MORGAN, MURIEL (BA, LMT, NCMT)
Entity type:Individual
Prefix:MS
First Name:MURIEL
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BA, LMT, NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:SPARKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10976-0247
Mailing Address - Country:US
Mailing Address - Phone:845-641-6732
Mailing Address - Fax:
Practice Address - Street 1:617 MAIN ST.
Practice Address - Street 2:
Practice Address - City:SPARKILL
Practice Address - State:NY
Practice Address - Zip Code:10976-0247
Practice Address - Country:US
Practice Address - Phone:845-641-6732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236981146N00000X
NY017808-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist