Provider Demographics
NPI:1720821291
Name:MURNANE, MARYKATE
Entity type:Individual
Prefix:MS
First Name:MARYKATE
Middle Name:
Last Name:MURNANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MONROE BLVD APT 7J
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4360
Mailing Address - Country:US
Mailing Address - Phone:516-322-5944
Mailing Address - Fax:
Practice Address - Street 1:10 MONROE BLVD APT 7J
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4360
Practice Address - Country:US
Practice Address - Phone:516-322-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist