SearchNew York164W00000X

Myrtle Gray

NPI 1770750515 · on the registry since 2008

Practice

Address
189 Brookside Ave
Roosevelt, NY 11575
Phone
(516) 546-9019

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
2008-05-12

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