Individual
CHERYL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 S CENTRE AVE, #1PP, ROCKVILLE CENTRE, NY 11570-5749
(516) 608-5596
Mailing address
111 S CENTRE AVE, #1PP, ROCKVILLE CENTRE, NY 11570-5749
(516) 608-5596
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
224304
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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