Individual
MR. ROBERT LANCE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3426 DEWBERRY LN, MACEDON, NY 14502-8725
(585) 208-5986
Mailing address
3426 DEWBERRY LN, MACEDON, NY 14502-8725
(585) 208-5986
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
305340373
NY
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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