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Individual

DIONNE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
225 BROADHOLLOW RD, MELVILLE, NY 11747-4822
(631) 385-7780
(631) 385-7780
Mailing address
28 WEBB AVE, HEMPSTEAD, NY 11550-2539
(516) 972-5941

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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