Provider Demographics
NPI:1063866168
Name:RAYNOR, JANAYA (MD)
Entity Type:Individual
Prefix:
First Name:JANAYA
Middle Name:
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HARTFORD HEALTHCARE
Mailing Address - Street 2:1290 SILAS DEANE HIGHWAY
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:860-972-5098
Mailing Address - Fax:
Practice Address - Street 1:110 BI COUNTY BLVD STE 114
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3923
Practice Address - Country:US
Practice Address - Phone:631-828-7417
Practice Address - Fax:631-828-7475
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT63868207R00000X
NY303592207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY303592OtherLICENSE
CT63868OtherLICENSE