Individual
SARAH JANE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 COMMACK RD, COMMACK, NY 11725-5404
(631) 212-6020
Mailing address
4 SEAVIEW LN, CENTER MORICHES, NY 11934-3112
(651) 470-6643
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
308841
NY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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