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Lisa Gray
NPI 1053082230 · on the registry since 2021 · sole proprietor
Practice
- Address
- 600 Waverly Ave Unit 2
Patchogue, NY 11772 - Phone
- (631) 559-3126
- Organisation at this address
- Matrix Massage & Wellness, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York