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:
Health care specialties
| Specialty | Code | License # | 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 14 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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