Murray, Dwayne M
Murray, Dwayne M is an sole proprietor health care provider with primary practice located at 1276 Fulton Ave Fl 7 , Bronx NY 10456-3402. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Hospitals / Psychiatric Hospital. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Murray, Dwayne M can be contacted via phone (718) 901-8862.Contact Information
Primary practice address
1276 Fulton Ave Fl 7
Bronx NY 10456-3402
Phone: (718) 901-8862
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13105 | New York |
Hospitals / Psychiatric Hospital | 283Q00000X | 13105 | New York |
Profile Details
NPI number | 1083852735 |
---|---|
LBN Legal business name | Murray, Dwayne M |
Credentials | CASAC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2009 |
Last updated | Feb 2nd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083852735 | NPPES |
New York | Other | 13105 | CASAC |
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