Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Burgandy Gray

Individual provider Physician Assistant · NPI 1063800464

Burgandy Gray is a Physician Assistant in Horseheads, New York. Qualified in 2014, 12 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
12
Licensed in
NY, PA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3005 Watkins Rd
Horseheads, NY 14845-1800
Phone: (607) 739-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018372 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA057364 (PA)

Record details

NPI number1063800464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESMarch 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Horseheads