| Doctor Name: | MISS DEBRA JANE DERMADY-RAY |
| NPI Number: | 1033162888 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, ANP-BC |
| License Number: | F303360 |
| Business Practice Address: | 1508 Genesee St Utica, NY - 135025178 |
| Business Phone Number: | 3157988737 |
| Business Fax Number: | |
| Mailing Address: | 1508 Genesee St, UTICA |
| State: | NY |
| Postal Code: | 135025178 |
| Phone Number: | 3157988737 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0000X |
| License Number: | F303360 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pain Management |
| Taxonomy Definition: | |