Provider Demographics
NPI:1336248228
Name:SCHRAY, LAURIE (MD)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:SCHRAY
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 1:907 ADAM CT
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-9550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 MARKET PL
Practice Address - Street 2:LOGAN SQUARE
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1059
Practice Address - Country:US
Practice Address - Phone:215-385-5550
Practice Address - Fax:215-693-1580
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA051256002084P0800X
PAMD027252E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC34125Medicare UPIN