Murray, Tina Jann

Murray, Tina Jann is an individual health care provider with primary practice located at 104 Alice St , Port Jefferson NY 11777-2006. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Murray, Tina Jann can be contacted via phone (631) 928-8003.

Contact Information

Primary practice address
104 Alice St Port Jefferson NY 11777-2006
Phone: (631) 928-8003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 399477-1 New York

Profile Details

NPI number 1083893325
LBN Legal business name Murray, Tina Jann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Nov 2nd, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083893325 NPPES
New York Other 399477-1 LICENSE
New York MEDICAID 01239812 LICENSE

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