National Provider Identifier

Emily Katherine Graham, PA-C

Emily Katherine Graham, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 489-9383.

NPI 1558838938Rochester, NYPhysician Assistant

Profile Overview

NPI
1558838938
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 24, 2018
Last Updated
November 02, 2020

Practice Location

  • 259 Monroe Ave
  • Rochester, NY 14607-3632

Phone: (585) 489-9383

Mailing Address

  • 8288 Black Street Road
  • Le Roy, NY 14482

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1558838938
Entity Type
Individual
Last Name
Graham
First Name
Emily
Middle Name
Katherine
Name Prefix
MS.
Credential
PA-C
Mailing Street Address
8288 Black Street Road
Mailing City
Le Roy
Mailing State
NY
Mailing ZIP Code
14482
Mailing Country
US
Mailing Phone
(585) 489-9383
Practice Street Address
259 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3632
Practice Country
US
Practice Phone
(585) 489-9383
Enumeration Date
October 24, 2018
Last Updated
November 02, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
October 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)