Individual
AMANDA ELLEN FORBES GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
26 BLEECKER ST, NEW YORK, NY 10012-2413
(212) 965-7000
Mailing address
327 PROSPECT AVE APT 3, BROOKLYN, NY 11215-5518
(703) 628-4680
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421281
NY
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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