MR. RICHARD L GREY PA NPI 1023147030

Physician Assistant (Medical) in Bronx, NY

About RICHARD GREY

Richard Grey is a provider in Bronx, NY. The NPI number assigned to this provider is 1023147030. The practitioner's primary taxonomy code is Physician Assistant (363AM0700X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1023147030

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. RICHARD L GREY PA
Provider Location Address1865 MAYFLOWER AVE BRONX, NY 10461 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address33 DARLING AVE NEW ROCHELLE, NY 10804 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. RICHARD L GREY PA
1865 MAYFLOWER AVE
BRONX, NY
ZIP 10461
Phone: (718) 794-1510
Fax: (718) 794-1509
Get Directions

Mailing Address

MR. RICHARD L GREY PA
33 DARLING AVE
NEW ROCHELLE, NY
ZIP 10804
Phone: (914) 636-4107
Fax: (718) 794-1509

Primary Taxonomy

Taxonomy Code363AM0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.001185
License StateNY

Map Location


MR. RICHARD L GREY PA address is 1865 MAYFLOWER AVE BRONX, NY 10461
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