Individual
MS. ANDREA MAXINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11430 178TH PL, JAMAICA, NY 11434-1410
(718) 558-5847
Mailing address
11430 178TH PL, JAMAICA, NY 11434-1410
(718) 558-5847
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
460102
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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