Dishman, Missy Gray

Dishman, Missy Gray is an individual health care provider with primary practice located at 3041 Orchard Park Rd Ste C , Orchard Park NY 14127-1238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dishman, Missy Gray can be contacted via phone (716) 674-3104.

Contact Information

Primary practice address
3041 Orchard Park Rd Ste C Orchard Park NY 14127-1238
Phone: (716) 674-3104
Fax: (716) 674-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F309096 New York

Profile Details

NPI number 1598223984
LBN Legal business name Dishman, Missy Gray
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Jan 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598223984 NPPES
New York MEDICAID 05536787
New York Other 309096

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