Keriann Nickola Gray
Hematology & Oncology
200 Scenery Dr.
State College
, Pennsylvania 16801-5602
Keriann Nickola Gray
Hematology & Oncology
200 Scenery Dr.
State College
, Pennsylvania 16801-5602
(518) 649-4094
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Keriann Nickola Gray
- Po Box 14890
- Albany, NY
- Zip : 12212-4890
- Fax : (518) 649-4094
- Phone : (518) 525-5634
Second Address
- Keriann Nickola Gray
- 200 Scenery Dr.
- State College, PA
- Zip : 16801-5602
- Fax : (814) 231-6246
- Phone : (814) 231-4560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0003X | Hematology & Oncology | 246232 | NY |
| Y | 207RH0003X | Hematology & Oncology | MD456589 | PA |
National Provider Identifier
| NPI | 1023215670 |
|---|---|
| Provider Name | Keriann Nickola Gray |
| First Address | Albany, NY 12212-4890 |
| Second Address | State College, PA 16801-5602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2007 |
| Last Update Date | 21/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 464500 | MEDICARE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.