Provider Demographics
NPI:1285760181
Name:MABRAY, HUGH
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:
Last Name:MABRAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12215 25TH RD
Practice Address - Street 2:HEALTHPOINT SUITE B-3
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1013
Practice Address - Country:US
Practice Address - Phone:516-313-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003399-1171100000X
NY011823-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist