Individual
DR. ANDRE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
264 W 118TH ST, RENASSIANCE HEALTH CARE NETWORK, NEW YORK, NY 10026-1620
(212) 932-6500
(212) 932-6599
Mailing address
264 W 118TH ST, RENASSIANCE HEALTH CARE NETWORK, NEW YORK, NY 10026-1620
(212) 932-6500
(212) 932-6599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
183790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210402
—
NY
Enumeration date
10/11/2006
Last updated
02/11/2013
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