Provider Demographics
NPI:1952571275
Name:MURPHY, LOUISE ANN (PT)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 FRANKLIN AVE STE LL2
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1760
Mailing Address - Country:US
Mailing Address - Phone:516-663-9099
Mailing Address - Fax:516-663-9092
Practice Address - Street 1:1300 FRANKLIN AVE STE LL2
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1760
Practice Address - Country:US
Practice Address - Phone:516-663-9099
Practice Address - Fax:516-663-9092
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0099271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ45171Medicare PIN