ODESTER GRAY
NPI 1669736898
Specialist in Fresh Meadows, NY

Active since July 03, 2012
15813 72ND AVE, FRESH MEADOWS, NY 11365(718) 380-7600(718) 380-6092 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Odester Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODESTER GRAY (NPI 1669736898) is an individual specialist in Fresh Meadows, New York, licensed in New York (494080) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1669736898
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameODESTER GRAY
Location Address15813 72ND AVEFresh Meadows, NY 11365-4100
Mailing Address30 Cranberry Cirtcle, Country Pointe At CoramMedford, NY 11763
Fax(718) 380-6092
Sole ProprietorYes
Enumeration DateJuly 3, 2012
NPI 1669736898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 494080
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15813 72ND AVE, Fresh Meadows, NY 11365

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
15813 72ND AVE
FRESH MEADOWS, NY 11365
Occupational Therapy Assistant
15813 72ND AVE
FRESH MEADOWS, NY 11365
Speech-Language Pathologist
15813 72ND AVE
FRESH MEADOWS, NY 11365
Physical Therapist (Pediatrics)
15813 72ND AVE
FRESH MEADOWS, NY 11365
Speech-Language Pathologist
15813 72ND AVE
FRESH MEADOWS, NY 11365
Case Manager/Care Coordinator
15813 72ND AVE
FRESH MEADOWS, NY 11365
Social Worker
15813 72ND AVE
FRESH MEADOWS, NY 11365
Speech-Language Pathologist
15813 72ND AVE
FRESH MEADOWS, NY 11365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odester Gray's NPI number?

The NPI number for Odester Gray is 1669736898. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Odester Gray located?

Odester Gray practices at 15813 72nd Ave, Fresh Meadows, NY 11365. The listed phone number is (718) 380-7600.

What is Odester Gray's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Odester Gray was last updated on July 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.