Individual
DR. MICHAEL YLDEMAR GRAY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1674 EMPIRE BLVD, WEBSTER, NY 14580-1894
(585) 866-1786
Mailing address
580A QUINCY ST, BROOKLYN, NY 11221-8049
(917) 756-9584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063945
NY
122300000X
Dentist
30.027036
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2022
Last updated
07/25/2024
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