National Provider Identifier

Robert Lance Gray

Robert Lance Gray is listed in the NPPES registry with a primary specialty of Taxi in Macedon, NY and a listed phone number of (585) 208-5986.

NPI 1790440170Macedon, NYTaxi

Profile Overview

NPI
1790440170
Provider Type
Individual
Primary Specialty
Taxi
Enumeration Date
November 01, 2021
Last Updated
November 01, 2021

Practice Location

  • 3426 Dewberry Ln
  • Macedon, NY 14502-8725

Phone: (585) 208-5986

Specialties

  • Taxi (344600000X)
Full Record
NPI
1790440170
Entity Type
Individual
Last Name
Gray
First Name
Robert
Middle Name
Lance
Name Prefix
Mr.
Mailing Street Address
3426 Dewberry Ln
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8725
Mailing Country
US
Mailing Phone
(585) 208-5986
Practice Street Address
3426 Dewberry Ln
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-8725
Practice Country
US
Practice Phone
(585) 208-5986
Enumeration Date
November 01, 2021
Last Updated
November 01, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
November 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Taxi (344600000X)