Jennifer Marie Gray DO

NPI 1669622080 - Electrodiagnostic Medicine - 204R00000X

NPI Details
NPI 1669622080
Gender Female
Enumeration Date 09/22/2008
Last Updated 04/09/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
200 BELLE TERRE RD
PORT JEFFERSON NY, 11777-1928, US
Phone (631) 474-6012
Fax (631) 474-6448
Business Location
200 BELLE TERRE RD
PORT JEFFERSON NY, 11777-1928, US
Phone (631) 474-6012
Fax (631) 474-6448
Toxanomy
Taxonomy Code 204R00000X
License State New York
License Number 256760
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According to our database, Dr. Jennifer Marie Gray DO NPI is 1669622080, taxonomy code is 204R00000X and license number is 256760, license state is located at New York. Jennifer Marie Gray DO physically located at 200 Belle Terre Rd, Port Jefferson NY, 11777-1928. NPI Number Jennifer Marie Gray DO has the Individual type.

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1669622080 NPI number is provided on an as is basis without warranty of any kind. 1669622080 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Marie Gray DO are for informational purposes only.