Individual
AUTUMN L GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 N BEDFORD RD # 101, MOUNT KISCO, NY 10549-1166
(914) 864-0855
Mailing address
311 NOB HILL DR, ELMSFORD, NY 10523-2439
(570) 996-3239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
053735
NY
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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