Individual
MR. ROBERT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
7 GOUVERNUER SLIP EAST, NEW YORK CITY, NY 10002
(212) 566-7661
Mailing address
228 PACIFIC ST, BROOKLYN, NY 11201-5713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28620
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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