Individual
JASON MICHAEL GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.P.
Contact information
Practice address
1515 KENSINGTON AVE, 10, BUFFALO, NY 14215-1436
(716) 235-3252
Mailing address
388 WINDERMERE BLVD, AMHERST, NY 14226-2823
(716) 907-2853
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
25GR1400966
NY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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