Individual
JAYANTA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2826 WESTCHESTER AVE STE 204, BRONX, NY 10461-4514
(718) 823-1489
Mailing address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 345-5000
(718) 345-5794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
240947
NY
Other
Enumeration date
12/18/2006
Last updated
01/28/2016
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