Individual
CAROLYN L WRAY-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 1ST AVE, NEW YORK, NY 10016-6401
(212) 263-8005
Mailing address
545 1ST AVE, NEW YORK, NY 10016-6401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
464034
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F305003
NY
363LP2300X
Primary Care Nurse Practitioner
F305003
NY
Other
Enumeration date
07/27/2009
Last updated
01/18/2012
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