National Provider Identifier

Deborah Ann Graham

Deborah Ann Graham is listed in the NPPES registry with a primary specialty of Specialist in Mount Morris, NY and a listed phone number of (585) 658-4023.

NPI 1053674200Mount Morris, NYSpecialist

Profile Overview

NPI
1053674200
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 22, 2012
Last Updated
June 22, 2012

Practice Location

  • 5871 Groveland Station RD
  • Mount Morris, NY 14510-9767

Phone: (585) 658-4023

Specialties

  • Specialist (174400000X)
Full Record
NPI
1053674200
Entity Type
Individual
Last Name
Graham
First Name
Deborah
Middle Name
Ann
Name Prefix
MS.
Mailing Street Address
5871 Groveland Station RD
Mailing City
Mount Morris
Mailing State
NY
Mailing ZIP Code
14510-9767
Mailing Country
US
Mailing Phone
(585) 658-4023
Practice Street Address
5871 Groveland Station RD
Practice City
Mount Morris
Practice State
NY
Practice ZIP Code
14510-9767
Practice Country
US
Practice Phone
(585) 658-4023
Enumeration Date
June 22, 2012
Last Updated
June 22, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)