National Provider Identifier
Burgandy Gray
Burgandy Gray is listed in the NPPES registry with a primary specialty of Physician Assistant in Horseheads, NY and a listed phone number of (607) 739-8711.
Profile Overview
- NPI
- 1063800464
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 07, 2015
- Last Updated
- March 14, 2019
Practice Location
- 3005 Watkins RD
- Horseheads, NY 14845-1800
Phone: (607) 739-8711
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1063800464
- Entity Type
- Individual
- Last Name
- Gray
- First Name
- Burgandy
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 3005 Watkins RD
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-1800
- Practice Country
- US
- Practice Phone
- (607) 739-8711
- Enumeration Date
- January 07, 2015
- Last Updated
- March 14, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)