Individual
CASSANDRA GIGI GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 LOTT AVE APT 3A, BROOKLYN, NY 11212-4827
(347) 861-8705
Mailing address
54 LOTT AVE APT 3A, BROOKLYN, NY 11212-4827
(347) 861-8705
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320036
NY
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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