Individual provider · Type 1 NPI
William Richard Gray, PA
Medical Physician Assistant · Bay Shore, NY
NPI number
1649395229
Active
Practice location
24 Brentwood Rd
Bay Shore, NY 11706-8011
Fax (631) 647-4568
Mailing address
2500 Nesconset Hwy
Stony Brook, NY 11790-2555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 003709-1 (NY) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1649395229
William Richard Gray, PA's National Provider Identifier is 1649395229, issued on Mar 20, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bay Shore, NY. The record was last updated on Feb 20, 2023.