Individual
GRAY J CISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 E SIDNEY AVE APT 10A, MOUNT VERNON, NY 10550-1417
(718) 313-8848
Mailing address
40 E SIDNEY AVE APT 10A, MOUNT VERNON, NY 10550-1417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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