Individual
VIRGINIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 AMSTERDAM AVE, SCRYMSER 3RD FLOOR, NEW YORK, NY 10025-1716
(212) 523-6500
(212) 523-5677
Mailing address
1111 AMSTERDAM AVE, SCRYMSER 3RD FLOOR, NEW YORK, NY 10025-1716
(212) 523-6500
(212) 523-5677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242410-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420180-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03117911
—
NY
Enumeration date
01/15/2007
Last updated
07/06/2015
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