Individual
SERENA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-4000
Mailing address
58 WALTER ST, ALBANY, NY 12204-1602
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
806522
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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