Individual
MICHAEL T GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 376-6075
(631) 376-6091
Mailing address
125 SUNRISE HWY, WEST ISLIP, NY 11795-2023
(631) 376-6075
(631) 376-6091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
201426
NY
207RI0200X
Infectious Disease Physician
Primary
201426
NY
Other
Enumeration date
10/18/2006
Last updated
04/09/2024
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