Individual
MRS. CANDIDA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 496-0063
Mailing address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 496-0063
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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