Individual
VICTORIA DEGRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 CREAMERY RD, MONGAUP VALLEY, NY 12762
(845) 807-9138
Mailing address
PO BOX 592, MONGAUP VALLEY, NY 12762-0592
(845) 807-9138
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
484980
NY
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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