Provider Demographics
NPI:1629346192
Name:RAY, DEBORAH ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:RAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SMITH CT
Mailing Address - Street 2:RALPH R. SMITH ELEMENTARY
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2409
Mailing Address - Country:US
Mailing Address - Phone:845-229-4060
Mailing Address - Fax:845-229-2828
Practice Address - Street 1:16 SMITH CT
Practice Address - Street 2:RALPH R. SMITH ELEMENTARY
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2409
Practice Address - Country:US
Practice Address - Phone:845-229-4060
Practice Address - Fax:845-229-2828
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252664163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse