Provider Demographics
NPI:1962773036
Name:MCCRAY, KAREMA (LPN)
Entity type:Individual
Prefix:
First Name:KAREMA
Middle Name:
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MILFORD ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13904-1616
Mailing Address - Country:US
Mailing Address - Phone:607-221-0204
Mailing Address - Fax:
Practice Address - Street 1:2 MILFORD ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13904-1616
Practice Address - Country:US
Practice Address - Phone:607-221-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291312164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse