Individual
SALLY ANN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554-1859
(516) 572-6511
Mailing address
27 GARDEN CT, HUNTINGTON, NY 11743-3233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013953
LICENSE NUMBER
NY
Enumeration date
11/13/2006
Last updated
07/08/2007
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