Individual
DR. GRAY CRUM BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
82-68 164TH ST., JAMAICA, NY 11432
(718) 883-3248
(718) 883-6172
Mailing address
82-68 164TH ST., JAMAICA, NY 11432
(718) 883-3248
(718) 883-6172
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
314227
NY
Other
Enumeration date
03/27/2018
Last updated
11/27/2024
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