Individual
BRIAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
601 ELMWOOD AVE, BOX MED-HMD, ROCHESTER, NY 14642-0001
(585) 273-1636
(585) 276-2212
Mailing address
601 ELMWOOD AVE, BOX MED-HMD, ROCHESTER, NY 14642-0001
(585) 273-1636
(585) 276-2212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F4301281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02772049
—
NY
Enumeration date
06/09/2006
Last updated
07/09/2007
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