Individual
LANI GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1050 OLD NICHOLS RD, ISLANDIA, NY 11749-5026
(631) 828-4545
(631) 828-4545
Mailing address
1239 TERRY RD, RONKONKOMA, NY 11779-5947
(631) 741-6565
(631) 828-4545
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308386
NY
Other
Enumeration date
08/23/2017
Last updated
05/16/2024
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