Individual
VALERIE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA10161953
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 630-3003
(718) 630-3017
Mailing address
PO BOX 588, BROOKLYN, NY 11202-0588
(718) 630-3003
(718) 630-3017
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002302
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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