National Provider Identifier

Mary M Gray

Mary M Gray is listed in the NPPES registry with a primary specialty of Registered Nurse in Canisteo, NY and a listed phone number of (607) 698-4225.

NPI 1114201043Canisteo, NYRegistered Nurse

Profile Overview

NPI
1114201043
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
October 11, 2011
Last Updated
October 11, 2011

Practice Location

  • 84 Greenwood St
  • Canisteo, NY 14823-1230

Phone: (607) 698-4225

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1114201043
Entity Type
Individual
Last Name
Gray
First Name
Mary
Middle Name
M
Name Prefix
Mrs.
Mailing Street Address
84 Greenwood St
Mailing City
Canisteo
Mailing State
NY
Mailing ZIP Code
14823-1230
Mailing Country
US
Practice Street Address
84 Greenwood St
Practice City
Canisteo
Practice State
NY
Practice ZIP Code
14823-1230
Practice Country
US
Practice Phone
(607) 698-4225
Enumeration Date
October 11, 2011
Last Updated
October 11, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)