Individual
MAURICE MICHAEL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4120 27TH ST, LONG ISLAND CITY, NY 11101-3825
(718) 784-2240
(718) 784-0240
Mailing address
3 STOCKBRIDGE RD, YONKERS, NY 10710-4310
(914) 729-0078
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003061-1
NY
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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