Individual
JEFFREY BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
141 CENTRAL AVE, KEUKA COLLEGE, KEUKA PARK, NY 14478-9764
(315) 279-5656
(315) 279-5777
Mailing address
2392 WIDOW HILL RD, PENN YAN, NY 14527-9223
(315) 694-0013
(315) 279-5777
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
000712-1
NY
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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