Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669736898 Individual Practitioner Female Practitioner

Odester Gray

Specialist • Fresh Meadows, NY

Professional Overview & Biography Verified Profile Summary

Odester Gray is a registered healthcare professional specializing in Specialist in Fresh Meadows, NY. Practice services are available at 15813 72ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15813 72nd Ave

Fresh Meadows, NY 113654100

Telephone 7183807600
Fax 7183806092
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fresh Meadows, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
189 Specialists

Practicing in Fresh Meadows, NY (23296 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 494080

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Raicine Terry

Speech-Language Pathologist

NPI 1013349737
Kristen Whitley , COTA, L

Occupational Therapy Assistant

NPI 1023557584

Certified Occupational Therapy Assistant, L

Faye Dungca , MS OTR, L

Occupational Therapist - Pediatrics

NPI 1033363957

MSOTR, L

Madalina Lipan , MS

Speech-Language Pathologist

NPI 1093195943

Master of Science

Crystal Jones

Case Manager/Care Coordinator

NPI 1124582358
Stacy Slomovicz , MSPT

Physical Therapist - Pediatrics

NPI 1144474073

Master of Science in Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2012

Registered at 15813 72ND AVE, FRESH MEADOWS, NY 113654100 (Tel: 7183807600)

📍
Updated Business Mailing Address July 03, 2012

Registered at 30 CRANBERRY CIRTCLE, COUNTRY POINTE AT CORAM, MEDFORD, NY 11763

👤
Provider Name / Credentials Updated July 03, 2012

Recorded as ODESTER GRAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2012

Specialist (License #494080 in NY)

🟢
Initial NPI Registration & Enumeration July 03, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669736898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2012
Last Update: July 03, 2012
Sole Proprietor: Yes

Mailing Address

30 Cranberry Cirtcle, Country Pointe At Coram

Medford, NY 11763

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.