Individual
KERRY WIDDERSHEIM GRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 S MAIN ST, LAKE COUNTRY FAMILY MEDICINE, CANANDAIGUA, NY 14424-2242
(585) 394-1875
(888) 990-2283
Mailing address
502 S MAIN ST, LAKE COUNTRY FAMILY MEDICINE, CANANDAIGUA, NY 14424-2242
(585) 394-1875
(888) 990-2283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207638
NY
2083P0901X
Public Health & General Preventive Medicine Physician
207638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000921058001
HEALTHNOW
NY
05
—
02048819
—
NY
01
—
0520
BLUESHIELD
NY
01
—
101717BF
PREFERRED CARE
NY
01
—
P010207638
EXCELLUS BC/BS AND CHP
NY
Enumeration date
06/08/2006
Last updated
10/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us