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Contact Information

JENNIFER M GRAY, DO
200 BELLE TERRE RD
PORT JEFFERSON, NY11777-1928
 Phone: 631-474-6012
 Fax: 631-474-6448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Electrodiagnostic Medicine

204R00000X
Indicates primary specialty

NPI Profile & details for JENNIFER M GRAY · (Female)

NPI Number 1669622080
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/22/2008
Last updated 04/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 256760
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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