Provider Demographics
NPI:1770866238
Name:GRAY, ANDREAL RAY (PA)
Entity Type:Individual
Prefix:
First Name:ANDREAL
Middle Name:RAY
Last Name:GRAY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:247 MOREWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1861
Mailing Address - Country:US
Mailing Address - Phone:412-622-0290
Mailing Address - Fax:412-681-7605
Practice Address - Street 1:160 HOLLYWOOD DR FL 2
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5600
Practice Address - Country:US
Practice Address - Phone:724-282-6175
Practice Address - Fax:724-482-1115
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2020-10-20
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Provider Licenses
StateLicense IDTaxonomies
PAMA055055363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant