National Provider Identifier
Michael Yldemar Gray SR.
Michael Yldemar Gray SR. is listed in the NPPES registry with a primary specialty of Dentist in Webster, NY and a listed phone number of (585) 866-1786.
Profile Overview
- NPI
- 1689384836
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- November 29, 2022
- Last Updated
- July 25, 2024
Practice Location
- 1674 Empire Blvd
- Webster, NY 14580-1894
Phone: (585) 866-1786
Mailing Address
- 580A Quincy St
- Brooklyn, NY 11221-8049
Specialties
- Dentist (122300000X)
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1689384836
- Entity Type
- Individual
- Last Name
- Gray
- First Name
- Michael
- Middle Name
- Yldemar
- Name Prefix
- Dr.
- Name Suffix
- SR.
- Mailing Street Address
- 580A Quincy St
- Mailing City
- Brooklyn
- Mailing State
- NY
- Mailing ZIP Code
- 11221-8049
- Mailing Country
- US
- Mailing Phone
- (917) 756-9584
- Practice Street Address
- 1674 Empire Blvd
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1894
- Practice Country
- US
- Practice Phone
- (585) 866-1786
- Enumeration Date
- November 29, 2022
- Last Updated
- July 25, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)