person
Tyler David Gray, PA
Surgical Physician Assistant in Albany, New York
NPI 1083231369

Tyler David Gray is a Surgical Physician Assistant based in Albany, NY and is specialized in Surgical. Tyler David Gray practices in Albany, NY and has the professional credentials of PA. The NPI Number for Tyler David Gray is 1083231369 and holds a License No. (New York).

The current practice location address for Tyler David Gray is 121 Everett Rd Ste 100, Albany, NY and can be reached out via phone at 518-453-9088 and via fax at 518-689-3817.

Location: 121 Everett Rd Ste 100, Albany, NY, 12205-1447
person
Provider Profile Details
NPI Number
1083231369
Provider Name
Tyler David Gray
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
121 Everett Rd Ste 100, Albany, NY, 12205-1447
Phone Number
518-453-9088
Fax Number
518-689-3817
Provider Enumeration Date
07/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025133 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
121 Everett Rd Ste 100
City
State
Zip
12205-1447
Phone Number
518-453-9088
Fax Number
518-689-3817
person
Provider Business Mailing Address Details
Address
121 Everett Rd Ste 100
City
State
Zip
12205-1447
Phone Number
518-453-9088
Fax Number
518-689-3817
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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