Individual
CAROL ANN RAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 CHAPEL RD, WACCABUC, NY 10597-1001
(914) 763-8723
Mailing address
65 CHAPEL RD, WACCABUC, NY 10597-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042522
CT
207R00000X
Internal Medicine Physician
Primary
191333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502230
—
NY
01
—
194AB1
BLUE CROSS DELUXE
NY
01
—
5915020
AETNA NON HMO
NY
Enumeration date
01/12/2006
Last updated
02/12/2013
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