Individual
MRS. WENDY JO GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
120 DEFREEST DR, TROY, NY 12180-7608
(518) 283-1800
Mailing address
120 DEFREEST DR, TROY, NY 12180-7608
(518) 729-7643
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401667
NY
Other
Enumeration date
04/12/2010
Last updated
03/17/2018
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