Individual
ELIZABETH ROSE GRAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1ST AVENUE 16TH STREET, MANHATTAN, NY 10009
(866) 318-8762
Mailing address
39 BAYWAY AVE, BAY SHORE, NY 11706-8217
(631) 665-2785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304924
NY
Other
Enumeration date
11/19/2011
Last updated
08/26/2015
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