Individual
LESLIE CARYN GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.S., PA-C
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(888) 628-9633
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(888) 628-9633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00875
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U400329269
MEDICARE NGS
RI
Enumeration date
02/11/2015
Last updated
12/03/2021
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