Gray, Daniel Stanley

Gray, Daniel Stanley is an individual health care provider with primary practice located at 1571 Washington St Suite 101, Watertown NY 13601-9304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gray, Daniel Stanley can be contacted via phone (315) 786-5000.

Contact Information

Primary practice address
1571 Washington St Suite 101 Watertown NY 13601-9304
Phone: (315) 786-5000
Fax: (315) 786-5040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101279406 Virginia
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 206039-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 206039-1 New York

Profile Details

NPI number 1851383343
LBN Legal business name Gray, Daniel Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Aug 1st, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851383343 NPPES
New York MEDICAID 01747204

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