| Doctor Name: | MS. SAMANTHA GRAY |
| NPI Number: | 1235335662 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 297896-1 |
| Business Practice Address: | 216 Willis Ave Suite #1 Roslyn Heights, NY - 115772125 |
| Business Phone Number: | 5164841333 |
| Business Fax Number: | 5166217158 |
| Mailing Address: | 216 Willis Ave, Suite #1 ROSLYN HEIGHTS |
| State: | NY |
| Postal Code: | 115772125 |
| Phone Number: | 5164841333 |
| Fax Number: | 5166217158 |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 297896-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |