Individual
MS. EMILY KATHERINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 MONROE AVE, ROCHESTER, NY 14607-3632
(585) 489-9383
Mailing address
8288 BLACK STREET ROAD, LE ROY, NY 14482
(585) 489-9383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
11/02/2020
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