Individual
MS. ELIZABETH CHARLENE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 CRESCENT AVE, SARATOGA SPRINGS, NY 12866-5142
(518) 584-3600
(518) 584-7092
Mailing address
30 CRESCENT AVE, SARATOGA SPRINGS, NY 12866-5142
(518) 584-3600
(518) 584-7092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F330295
N.P. LICENSE NUMBER
NY
Enumeration date
05/08/2007
Last updated
07/08/2007
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