Individual
DR. JOHN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21 EXECUTIVE PARK DR, CLIFTON PARK, NY 12065-8651
(518) 371-5422
(518) 371-2063
Mailing address
21 EXECUTIVE PARK DR, CLIFTON PARK, NY 12065-8651
(518) 371-5422
(518) 371-2063
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035363
CDPHP
NY
01
—
98L1853
MVP
NY
01
—
C02183-4
WORKER COMPENSATION
NY
01
—
X3A141
EMPIRE BC/BS
NY
Enumeration date
08/28/2006
Last updated
04/30/2008
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