| Doctor Name: | DR. DIANE BRAY |
| NPI Number: | 1225094642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | NY005929 |
| Business Practice Address: | 120 Plaza Dr Ste F Vestal, NY - 138503640 |
| Business Phone Number: | 6077669097 |
| Business Fax Number: | 6077975195 |
| Mailing Address: | 414 E Drinker St, Suite 101 DUNMORE |
| State: | PA |
| Postal Code: | 185122469 |
| Phone Number: | 5703481757 |
| Fax Number: | 5703486721 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | NY005929 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |