Individual
WILLIAM RICHARD GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
24 BRENTWOOD RD, BAY SHORE, NY 11706-8011
(631) 647-4567
(631) 647-4568
Mailing address
2500 NESCONSET HWY, STONY BROOK, NY 11790-2555
(631) 689-3005
(631) 689-1750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003709-1
NY
Other
Enumeration date
03/20/2007
Last updated
02/20/2023
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