Dr. Mary Bray, M.D.
Specialist in Mineola, NY. Individual provider (NPI-1).
NPI number1104802255
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104802255
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Bray
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 158100 | NY | Yes |
Practice location
200 Old Country RdSuite 350
Mineola, NY 11501-4235
Phone 516-739-2100 · Fax 516-739-2178
Mailing address
200 Old Country RdSuite 350
Mineola, NY 11501-4235
Phone 516-739-2100 · Fax 516-739-2178
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