Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT LANCE GRAY
Active Sole ProprietorMR. ROBERT LANCE GRAY is a Van Provider healthcare provider located in MACEDON, New York. NPI 1790440170 is currently active in the NPPES registry. Verify at CMS.
Van Provider · MACEDON, NY
Registration Details
- NPI Number
- 1790440170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2021 (4.7967497613893 yrs)
- Last Updated
- Nov 1, 2021
- License
-
305340373 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3426 DEWBERRY LNMACEDON, NY, 145028725Browse NY providers · Browse ZIP 14502
- Phone
- 5852085986
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.