Individual
PETER R GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 338-3400
Mailing address
3 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 338-3400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
168093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256239
—
NY
01
—
P01000241
RR MEDICARE
NY
Enumeration date
05/27/2005
Last updated
10/02/2014
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