Dorett Gray-harris

NPI 1649412230 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1649412230
Gender Female
Enumeration Date 03/30/2009
Last Updated 03/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
54 S 2ND AVE
APT B-4
MOUNT VERNON NY, 10550-3438, US
Phone (914) 363-3204
Fax
Business Location
54 SOUTH 2ND AVENUE
APT B-4
MOUNT VERNON NY, 10550, US
Phone (914) 363-3204
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 294975
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According to our database, Dorett Gray-harris NPI is 1649412230, taxonomy code is 164W00000X and license number is 294975, license state is located at New York. Dorett Gray-harris physically located at 54 S 2nd Ave, Mount Vernon NY, 10550-3438. NPI Number Dorett Gray-harris has the Individual type.

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1649412230 NPI number is provided on an as is basis without warranty of any kind. 1649412230 is maintained by the National Plan & Provider Enumeration System. The contents of Dorett Gray-harris are for informational purposes only.