Organization
GRAHAM PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GRAHAM MD (PHYSICIAN/OWNER)
(407) 453-1036
Entity
Organization
Contact information
Practice address
6536 ANTHONY DR, SUITE C, VICTOR, NY 14564-1419
(585) 300-4575
Mailing address
6536 ANTHONY DR, SUITE C, VICTOR, NY 14564-1419
(585) 300-4575
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
269255
NY
Other
Enumeration date
05/14/2016
Last updated
09/08/2016
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