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Myrtle Gray
Licensed Practical Nurse in Roosevelt, New York
NPI 1770750515

Myrtle Gray is a Licensed Practical Nurse based in Roosevelt, NY. Myrtle Gray practices in Roosevelt, NY. The NPI Number for Myrtle Gray is 1770750515 and holds a License No. 02143759 (New York).

The current practice location address for Myrtle Gray is 189 Brookside Ave, Roosevelt, NY and can be reached out via phone at 516-546-9019.

Location: 189 Brookside Ave, Roosevelt, NY, 11575-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770750515
Provider Name
Myrtle Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
189 Brookside Ave, Roosevelt, NY, 11575-1901
Phone Number
516-546-9019
Fax Number
Provider Enumeration Date
05/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
189 Brookside Ave
City
Roosevelt
State
New York
Zip
11575-1901
Phone Number
516-546-9019
Fax Number
person
Provider Business Mailing Address Details
Address
189 Brookside Ave
City
Roosevelt
State
New York
Zip
11575-1901
Phone Number
516-546-9019
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
02143759 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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