Amy Marie Gray, | |
4220 State Route 417 W, Wellsville, NY 14895-9332 | |
(585) 593-6300 | |
(585) 593-7071 |
Full Name | Amy Marie Gray |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4220 State Route 417 W, Wellsville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841777513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230418000266 |
Mailing Address | Practice Location Address |
---|---|
Amy Marie Gray, 4220 State Route 417 W, Wellsville, NY 14895-9332 Ph: (585) 593-6300 | Amy Marie Gray, 4220 State Route 417 W, Wellsville, NY 14895-9332 Ph: (585) 593-6300 |
Susan L Bostwick, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 State Route 417 W, Wellsville, NY 14895 Phone: 585-593-6300 Fax: 585-593-7071 | |
Mr. Roderick Bohanan Jeffers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4194 Bolivar Rd, Wellsville, NY 14895 Phone: 585-665-2623 | |
Ms. Sally Ann Dougherty, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 State Route 417 West, Wellsville, NY 14895 Phone: 585-593-6300 Fax: 585-593-7071 | |
Heather M Doran, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 State Route 417 W, Wellsville, NY 14895 Phone: 585-593-6300 Fax: 585-593-7071 | |
Marriann J Fontaine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 State Route 417 W, Wellsville, NY 14895 Phone: 585-593-6300 Fax: 585-593-7071 | |
Margaret M Vanetten, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 State Route 417 W, Wellsville, NY 14895 Phone: 585-593-6300 Fax: 585-593-7071 | |
Carina M Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 State Route 417 W, Wellsville, NY 14895 Phone: 585-593-6300 Fax: 585-593-7071 |