Individual
KEITH S MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6610
(315) 637-7878
(315) 329-7824
Mailing address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
(315) 329-7824
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276580
—
NY
Enumeration date
03/31/2006
Last updated
11/23/2011
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