Individual
ELYSHA RAND GRAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 226-9158
(718) 226-6964
Mailing address
ONE EDGEWATER STREET, 6TH FLOOR, STATEN ISLAND, NY 10305
(718) 226-4324
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02928527
—
NY
Enumeration date
06/20/2007
Last updated
02/17/2011
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