Individual
EDWARD MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPP, RN
Contact information
Practice address
111 E 210TH ST, AOPD, BRONX, NY 10467-2401
(718) 920-7667
Mailing address
111 E 210TH ST, AOPD, BRONX, NY 10467-2401
(718) 920-7667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
583214-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401228
NY
Other
Enumeration date
05/20/2009
Last updated
03/08/2010
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