Individual
TRACEY GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNOR,CRNFA
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 646-1314
Mailing address
PO BOX 477, WATERTOWN, NY 13601-0477
(315) 646-1314
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
3499331
NY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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