Individual
PEARL JOYCE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
109 KING CT, ELMONT, NY 11003-4226
(516) 590-5132
Mailing address
109 KING CT, ELMONT, NY 11003-4226
(516) 590-5132
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306014
NY
Other
Enumeration date
06/20/2012
Last updated
06/06/2025
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