Individual
AUDLINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1022 E 227TH ST, BRONX, NY 10466-4818
(646) 488-9042
Mailing address
1022 E 227TH ST, BRONX, NY 10466-4818
(646) 488-9042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
424414
NY
Other
Enumeration date
03/18/2011
Last updated
03/30/2011
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