Emy L Gray, LPN

Individual provider Active NPI Licensed Practical Nurse · Westhampton Beach, NY

NPI 1144765470 · NPPES record last updated Dec 22, 2016

Key facts

NPI
1144765470
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
326386 (NY)
Practice address
7 Seafield LN
Westhampton Beach, NY 11978-2714
Phone
(631) 288-1122
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
326386NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326386 NY Yes

Addresses

Primary practice location

7 Seafield LN
Westhampton Beach, NY 11978-2714

Mailing address

232 Highview Dr
Calverton, NY 11933-9790
Phone (631) 369-6450

Other providers in Westhampton Beach, NY

All providers in Westhampton Beach, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.