National Provider Identifier
Jeffrey Bray, A.T.
Jeffrey Bray, A.T. is listed in the NPPES registry with a primary specialty of Contractor in Keuka Park, NY and a listed phone number of (315) 279-5656.
Profile Overview
- NPI
- 1760860415
- Provider Type
- Individual
- Primary Specialty
- Contractor
- Enumeration Date
- May 14, 2015
- Last Updated
- May 14, 2015
Practice Location
- 141 Central Ave
- Keuka College
- Keuka Park, NY 14478-9764
Phone: (315) 279-5656
Mailing Address
- 2392 Widow Hill RD
- Penn Yan, NY 14527-9223
Specialties
- Contractor (171W00000X)
Full Record
- NPI
- 1760860415
- Entity Type
- Individual
- Last Name
- Bray
- First Name
- Jeffrey
- Credential
- A.T.
- Mailing Street Address
- 2392 Widow Hill RD
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-9223
- Mailing Country
- US
- Mailing Phone
- (315) 694-0013
- Mailing Fax
- (315) 279-5777
- Practice Street Address
- 141 Central Ave
- Practice Address Line 2
- Keuka College
- Practice City
- Keuka Park
- Practice State
- NY
- Practice ZIP Code
- 14478-9764
- Practice Country
- US
- Practice Phone
- (315) 279-5656
- Practice Fax
- (315) 279-5777
- Enumeration Date
- May 14, 2015
- Last Updated
- May 14, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Contractor (171W00000X)