Individual
MRS. DANNIETH ANGELLA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
1169 SIMPSON ST, BRONX, NY 10459-1849
(917) 359-4822
Mailing address
1169 SIMPSON ST, BRONX, NY 10459-1849
(917) 359-4822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337807-1
NY
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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