Provider Demographics
NPI:1902112246
Name:GRAY AND ASSOCIATES CHILD SERVICES INC
Entity Type:Organization
Organization Name:GRAY AND ASSOCIATES CHILD SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-582-2319
Mailing Address - Street 1:2577 SCHURZ AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3141
Mailing Address - Country:US
Mailing Address - Phone:347-582-2319
Mailing Address - Fax:
Practice Address - Street 1:2577 SCHURZ AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3141
Practice Address - Country:US
Practice Address - Phone:347-582-2319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care