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Individual

MARIE T GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300743
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02522943
NY
Enumeration date
09/17/2006
Last updated
04/10/2008
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