Gray, Jeffrey
Gray, Jeffrey is an individual health care provider with primary practice located at 507 Main St , Johnson City NY 13790-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gray, Jeffrey can be contacted via phone (607) 763-8008.Contact Information
Primary practice address
507 Main St
Johnson City NY 13790-1810
Phone: (607) 763-8008
Fax: (607) 763-8019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 231457 | New York |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 231457 | New York |
Profile Details
NPI number | 1730172792 |
---|---|
LBN Legal business name | Gray, Jeffrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2005 |
Last updated | Oct 26th, 2016 - about 8 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730172792 | NPPES |
New York | MEDICAID | 02605778 |
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