Provider Demographics
NPI:1831404268
Name:PRAY, CAROL JAN-NETTE (RN)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:JAN-NETTE
Last Name:PRAY
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 1:64 CUNNINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:PAWLING
Mailing Address - State:NY
Mailing Address - Zip Code:12564-2041
Mailing Address - Country:US
Mailing Address - Phone:845-867-3486
Mailing Address - Fax:
Practice Address - Street 1:665 STONELEIGH AVE STE 202
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-4625
Practice Address - Country:US
Practice Address - Phone:845-279-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR55896163W00000X
NY499594163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse