Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Odester Gray

Individual provider Specialist · NPI 1669736898

Odester Gray is a Specialist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

15813 72nd Ave
Fresh Meadows, NY 11365-4100
Phone: (718) 380-7600
Fax: (718) 380-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 494080 (NY)

Record details

NPI number1669736898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2012
Last updated in NPPESJuly 3, 2012
Mailing address30 Cranberry Cirtcle, Country Pointe At Coram, Medford, NY 11763

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