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

TaxonomyCodeLicense
Specialist Primary 174400000X158100 (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.