Provider Demographics
NPI:1336418953
Name:RAY, ARUNA
Entity Type:Individual
Prefix:
First Name:ARUNA
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 WASHINGTON ST
Mailing Address - Street 2:SAMARITAN MEDICAL CENTER
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4034
Mailing Address - Country:US
Mailing Address - Phone:315-785-5749
Mailing Address - Fax:315-785-5761
Practice Address - Street 1:830 WASHINGTON ST
Practice Address - Street 2:SAMARITAN MEDICAL CENTER
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4034
Practice Address - Country:US
Practice Address - Phone:315-785-5749
Practice Address - Fax:315-785-5761
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269404207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology