Individual
DR. JOHN NEVILLE GRAHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215
(718) 780-3000
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9033
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
076154
CT
208800000X
Urology Physician
300130
NY
208800000X
Urology Physician
A153892
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2013
Last updated
11/13/2023
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