Individual
CHRISTINE MADALINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 TRASK LN, BABYLON, NY 11702-4007
(631) 671-9939
Mailing address
26 TRASK LN, BABYLON, NY 11702-4007
(631) 671-9939
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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