Individual
MR. DENNIS GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(212) 639-3028
(212) 717-3118
Mailing address
8417 85TH RD, WOODHAVEN, NY 11421-1220
(212) 639-3028
(212) 717-3118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300836
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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