Individual
ROBERT P GRAEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 RALPH ST, HOLBROOK, NY 11741-1014
(631) 747-9902
Mailing address
23 RALPH ST, HOLBROOK, NY 11741-1014
(631) 747-9902
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CX14074C
—
NY
Enumeration date
03/25/2022
Last updated
03/25/2022
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