Individual
CANDY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1461 BLAKE AVE, BROOKLYN, NY 11208-4213
(718) 781-9431
Mailing address
1461 BLAKE AVE, BROOKLYN, NY 11208-4213
(718) 781-9431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
810770
NY
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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