person
William Richard Gray, PA
Medical Physician Assistant in Bay Shore, New York
NPI 1649395229

William Richard Gray is a Medical Physician Assistant based in Stony Brook, NY and is specialized in Medical. William Richard Gray practices in Bay Shore, NY and has the professional credentials of PA. The NPI Number for William Richard Gray is 1649395229 and holds a License No. 003709-1 (New York).

The current practice location address for William Richard Gray is 24 Brentwood Rd, Bay Shore, NY and can be reached out via phone at 631-647-4567 and via fax at 631-647-4568.

Location: 24 Brentwood Rd, Bay Shore, NY, 11790-2555
person
Provider Profile Details
NPI Number
1649395229
Provider Name
William Richard Gray
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
24 Brentwood Rd, Bay Shore, NY, 11790-2555
Phone Number
631-647-4567
Fax Number
631-647-4568
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24 Brentwood Rd
City
State
Zip
11706-8011
Phone Number
631-647-4567
Fax Number
631-647-4568
person
Provider Business Mailing Address Details
Address
24 Brentwood Rd
City
State
Zip
11706-8011
Phone Number
631-647-4567
Fax Number
631-647-4568
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003709-1 (New York)
Definition
Definition to come...
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