Amber D Gray, MS, RDN, CDN, CLC is a
Dietitian, Registered based in Averill Park, New York. Amber D Gray is licensed to practice in New York (license number 1047048) and her current practice location is
1830 State Route 43, Averill Park, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 698-0669.
NPI number for Amber D Gray is 1245994565 and her current mailing address is 1830 State Route 43, Averill Park, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245994565.
Healthcare Provider's Profile
| Full Name | Amber D Gray |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1830 State Route 43, Averill Park, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245994565
- Provider Enumeration Date: 10/22/2021
- Last Update Date: 01/26/2026
Medical Identifiers
Medical identifiers for Amber D Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245994565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | LDN7928 (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | 1047048 (New York) | Primary |
| 133V00000X | Dietitian, Registered | 008002 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber D Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amber D Gray, MS, RDN, CDN, CLC 1830 State Route 43, Averill Park, NY 12018-3923 Ph: (518) 290-0681 | Amber D Gray, MS, RDN, CDN, CLC 1830 State Route 43, Averill Park, NY 12018-3923 Ph: (518) 698-0669 |
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