National Provider Identifier
Graham Joshua Anderson, CRPA-P4479
Graham Joshua Anderson, CRPA-P4479 is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 424-4211.
Profile Overview
- NPI
- 1053924522
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- August 25, 2020
- Last Updated
- August 25, 2020
Practice Location
- 64 Linwood Ave.
- Buffalo, NY 14209
Phone: (716) 424-4211
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1053924522
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Graham
- Middle Name
- Joshua
- Name Prefix
- Mr.
- Credential
- CRPA-P4479
- Mailing Street Address
- 64 Linwood Ave.
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209
- Mailing Country
- US
- Mailing Phone
- (716) 424-4211
- Mailing Fax
- (716) 884-4211
- Practice Street Address
- 64 Linwood Ave.
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209
- Practice Country
- US
- Practice Phone
- (716) 424-4211
- Practice Fax
- (716) 884-4211
- Enumeration Date
- August 25, 2020
- Last Updated
- August 25, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)