Provider Demographics
NPI:1457750010
Name:GRAY AND GRAY CRNA, P.C.
Entity Type:Organization
Organization Name:GRAY AND GRAY CRNA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN-GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:315-896-2214
Mailing Address - Street 1:10603 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:BARNEVELD
Mailing Address - State:NY
Mailing Address - Zip Code:13304-2909
Mailing Address - Country:US
Mailing Address - Phone:315-896-2214
Mailing Address - Fax:
Practice Address - Street 1:10603 JOHN ST
Practice Address - Street 2:
Practice Address - City:BARNEVELD
Practice Address - State:NY
Practice Address - Zip Code:13304-2909
Practice Address - Country:US
Practice Address - Phone:315-896-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty