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Individual

PROF. RACHEL AMY GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9878
(212) 305-8980
Mailing address
247 W 11TH ST APT 6, NEW YORK, NY 10014-2269
(412) 418-3012

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
639642-1
NY
367500000X
Certified Registered Nurse Anesthetist
RN354173L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101236950
PA
Enumeration date
02/13/2006
Last updated
05/04/2011
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