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NPI Code Detail

MEDICARE: JAMIRA GRAY

MEDICARE: JAMIRA GRAY
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
1106S00000XBehavior TechnicianMD

General Provider Information

NPI Number : 1972448975
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIRA GRAY
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-865-5165
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : 405 WILLIAMS CT STE 120
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2892
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ JAMIRA GRAY ” Practice Location

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