Individual
KERRY A MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 MAIN RD, MATTITUCK, NY 11952-1525
(631) 963-4770
Mailing address
11700 MAIN RD, MATTITUCK, NY 11952-1525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210366
NY
Other
Enumeration date
07/19/2006
Last updated
03/31/2021
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