Individual
GENENE GRAY-BERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11944 194TH ST, SAINT ALBANS, NY 11412-3712
(917) 421-0091
Mailing address
11944 194TH ST, SAINT ALBANS, NY 11412-3712
(917) 421-0091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
713635
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407947
NY
Other
Enumeration date
05/23/2016
Last updated
02/04/2026
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