VICTOR W GRAY
CIN: QN02025N
Date of Birth: Nov. 2, 1937
Gender: Male
Created: Aug. 13, 2026
Address:
1157 E 57 STREET 1
, BROOKLYN, NY 11234
Last Updated: Aug. 13, 2026 3:26 PM
Latest Eligibility Snapshot
Date of Service: Aug. 14, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: COORDINATED BEHAVIORAL CARE INC
Recertification:
Yes — Aug. 31, 2026
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 14, 2026 | Eligible | ✓ | — | — | Expert Census Referrals - CIN_IMPORT (1).csv | View |