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NPI Code Detail

MEDICARE: CAROL MCLAUGHLIN GRAY CRNA

MEDICARE: CAROL MCLAUGHLIN GRAY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist448621NY

General Provider Information

NPI Number : 1386631687
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL MCLAUGHLIN GRAY CRNA
Provider Business Mailing Address
First Line : 10603 JOHN ST
Second Line :
City : BARNEVELD
State : NY
Zip : 13304-2909
Country : US
Telephone Number : 315-896-2214
Fax Number : 315-896-2214
Provider Business Practice Location Address
First Line : 1676 SUNSET AVE
Second Line :
City : UTICA
State : NY
Zip : 13502-5416
Country : US
Telephone Number : 315-724-3456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2005
Last Update Date : 08/14/2014

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Directions to “ CAROL MCLAUGHLIN GRAY CRNA” Practice Location

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