Individual
TODD BRANDON GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18807 DUNKIRK DR APT 1, SAINT ALBANS, NY 11412-3002
(646) 436-0201
Mailing address
18807 DUNKIRK DR APT 1, SAINT ALBANS, NY 11412-3002
(646) 436-0201
Taxonomy
Speciality
Code
Description
License number
State
291900000X
Military Clinical Medical Laboratory
Primary
014175
NY
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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