Individual
BROOKE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
295 CARLTON ST, BUFFALO, NY 14204-1126
(716) 816-3803
Mailing address
121 CAMPUS DR E, AMHERST, NY 14226-3774
(585) 943-9889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6882921
NY
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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