SearchNew York164W00000X

Jessica Henderson-Gray, LPN

NPI 1730621210 · on the registry since 2016 · sole proprietor

Practice

Address
735 Walker Ave
Bellport, NY 11713
Phone
(631) 703-6489

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-03

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