Dr. William Ray III, D.C.
Chiropractor in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1154461986
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154461986
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Ray III
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CO4182-4 | NY | Yes |
Practice location
879 Johnson AveRonkonkoma, NY 11779-6053
Phone 631-467-5468 · Fax 631-467-5469
Mailing address
879 Johnson AveRonkonkoma, NY 11779-6053
Phone 631-467-5468 · Fax 631-467-5469
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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