Keriann Nickola Gray, M.D.
Internal Medicine, Hematology & Oncology in State College, PA. Individual provider (NPI-1).
NPI number1023215670
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1023215670
- Entity type
- Individual (NPI-1)
- Name
- Keriann Nickola Gray
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2007
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | MD456589 | PA | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 246232 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
200 Scenery Dr.State College, PA 16801-5602
Phone 814-231-4560 · Fax 814-231-6246
Mailing address
Po Box 14890Albany, NY 12212-4890
Phone 518-525-5634 · Fax 518-649-4094
Other practice locations
317 S Manning Blvd Ste 220
Albany, NY 12208-3909
Albany, NY 12208-3909
Phone 518-525-6418
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Clifton Park, NY 12065-2807
Phone 518-268-5060
1300 Massachusetts Ave
Troy, NY 12180-1628
Troy, NY 12180-1628
Phone 518-268-5060
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All 10 Hematology & Oncology Physician providers in State College · All 1,987 providers in State College
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