Provider Demographics
NPI:1447857404
Name:MURRAY, SARAH (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2622
Mailing Address - Country:US
Mailing Address - Phone:917-364-3324
Mailing Address - Fax:
Practice Address - Street 1:55 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2622
Practice Address - Country:US
Practice Address - Phone:917-364-3324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY523883163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant