Individual provider · Type 1 NPI

Odester Gray

Specialist · Fresh Meadows, NY

NPI number 1669736898 Active

Practice location

15813 72nd Ave
Fresh Meadows, NY 11365-4100

Call (718) 380-7600 Map

Fax (718) 380-6092

Mailing address

30 Cranberry Cirtcle, Country Pointe At Coram
Medford, NY 11763

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X494080 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669736898

Odester Gray's National Provider Identifier is 1669736898, issued on Jul 3, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Jul 3, 2012.