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Organization

GRAHAMPROFESSIONALSERVICES

Active
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Organization

GRAHAMPROFESSIONALSERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVIAN GRAHAM (PRESIDENT/ C.E.O)
(718) 801-6336
Entity
Organization

Contact information

Practice address
181 MARTENSE ST, SUITE 3W, BROOKLYN, NY 11226-3336
(718) 801-6336
(347) 295-1211
Mailing address
181 MARTENSE ST, SUITE 3W, BROOKLYN, NY 11226-3336
(718) 801-6336
(347) 295-1211

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
274597557
NY

Other

Enumeration date
09/16/2011
Last updated
09/16/2011
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