# DR. JOHN GRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790893048
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X2183 | NY | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 04/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10035363 | CDPHP | NY |
| 01 | — | 98L1853 | MVP | NY |
| 01 | — | C02183-4 | WORKER COMPENSATION | NY |
| 01 | — | X3A141 | EMPIRE BC/BS | NY |