Individual
MR. RICHARD GRAY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2033 SEAGIRT BLVD APT 3G, FAR ROCKAWAY, NY 11691-2933
(516) 428-7486
Mailing address
2033 SEAGIRT BLVD APT 3G, FAR ROCKAWAY, NY 11691-2933
(516) 428-7486
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
NY
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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