Gray, Peter R

Gray, Peter R is an sole proprietor health care provider with primary practice located at 3 Irongate Ctr , Glens Falls NY 12801-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gray, Peter R can be contacted via phone (518) 793-4409.

Contact Information

Primary practice address
3 Irongate Ctr Glens Falls NY 12801-3471
Phone: (518) 793-4409
Fax: (518) 338-3400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 168093 New York

Profile Details

NPI number 1679576219
LBN Legal business name Gray, Peter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Oct 2nd, 2014 - about 12 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 1679576219 NPPES
New York Other P01000241 RR MEDICARE
New York MEDICAID 01256239 RR MEDICARE

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