Gray, Jennifer Marie

Gray, Jennifer Marie is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is her primary health care specialty. Gray, Jennifer Marie can be contacted via phone (631) 474-6012.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1928
Phone: (631) 474-6012
Fax: (631) 474-6448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X 256760 New York
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 256760 New York

Profile Details

NPI number 1669622080
LBN Legal business name Gray, Jennifer Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Apr 9th, 2012 - about 13 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.

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