Individual
DR. MARK LEWIS GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MIDDLEVILLE ROAD, VA MEDICAL CENTER - MEDICAL SERVICE - 111, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, VA MEDICAL CENTER, NORTHPORT, NY 11768
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
147814
NY
Other
Enumeration date
02/17/2006
Last updated
07/12/2007
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