Individual
DR. JASON K GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 1ST AVE, NEW YORK, NY 10016-6419
(212) 447-2321
Mailing address
520 1ST AVE, NEW YORK, NY 10016-6419
(212) 447-2321
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
239459
NY
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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