Individual
DR. DIANE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
431 E CHOCOLATE AVE, STE 3, HERSHEY, PA 17033-1310
(607) 766-9097
(607) 797-5195
Mailing address
431 E CHOCOLATE AVE, STE 3, HERSHEY, PA 17033-1310
(570) 348-1757
(570) 348-6721
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
NY005929
NY
213ES0131X
Foot Surgery Podiatrist
NY005929
NY
213ES0131X
Foot Surgery Podiatrist
Primary
SC006975
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480032555
RAILROAD MEDICARE
NY
Enumeration date
04/25/2006
Last updated
06/13/2019
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