Individual provider · Type 1 NPI

Tyler David Gray, PA

Surgical Physician Assistant · Saratoga Springs, NY

NPI number 1083231369 Active

Practice location

5 Care Ln
Saratoga Springs, NY 12866-8623

Mailing address

121 Everett Rd Ste 100
Albany, NY 12205-1447

Other practice locations

  • 121 Everett Rd Ste 100, Albany, NY 12205-1447 · (518) 453-9088

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X025133 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1083231369

Tyler David Gray, PA's National Provider Identifier is 1083231369, issued on Jul 2, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Saratoga Springs, NY. The record was last updated on May 28, 2025.