Individual provider · Type 1 NPI
Mary Bray, MD
Specialist · Mineola, NY
NPI number
1104802255
Active
Practice location
200 Old Country Rd, Suite 350
Mineola, NY 11501-4235
Fax (516) 739-2178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 158100 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104802255
Mary Bray, MD's National Provider Identifier is 1104802255, issued on Dec 21, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mineola, NY. The record was last updated on Jul 13, 2026.