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Individual

CHRISTINA GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MSN,ANP

Contact information

Practice address
37 W GARDEN ST, SUITE #201, AUBURN, NY 13021-2662
(315) 567-0777
(315) 702-8393
Mailing address
17 LANSING ST, AMMS, PC CREDENTIALING OFFICE, AUBURN, NY 13021-1983
(315) 567-0455
(315) 253-1795

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301383-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01790427
NY
Enumeration date
07/21/2006
Last updated
11/27/2015
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