Bray, Diane

Bray, Diane is an individual health care provider with primary practice located at 431 E Chocolate Ave Ste 3, Hershey PA 17033-1310. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Bray, Diane can be contacted via phone (607) 766-9097.

Contact Information

Primary practice address
431 E Chocolate Ave Ste 3 Hershey PA 17033-1310
Phone: (607) 766-9097
Fax: (607) 797-5195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NY005929 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC006975 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X NY005929 New York

Profile Details

NPI number 1225094642
LBN Legal business name Bray, Diane
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225094642 NPPES
New York Other 480032555 RAILROAD MEDICARE

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