Individual
DR. JENNIFER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 RED JACKET ST, DANSVILLE, NY 14437-9502
(585) 335-5200
(585) 335-5037
Mailing address
22 RED JACKET ST, PO BOX 499, DANSVILLE, NY 14437-9502
(585) 335-5200
(585) 335-5037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462788
—
NY
Enumeration date
05/10/2006
Last updated
11/18/2011
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