National Provider Identifier
Philip Douglas Graham, PA
Philip Douglas Graham, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in North Chili, NY and a listed phone number of (585) 594-5995.
Profile Overview
- NPI
- 1922289107
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 16, 2007
- Last Updated
- July 18, 2023
Practice Location
- 4201 Buffalo Road
- Suite 1
- North Chili, NY 14514-1256
Phone: (585) 594-5995
Mailing Address
- PO Box 505
- North Chilli, NY 14514-0505
Specialties
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
Endpoints
- Janene.Baase@rochesterregional.org
Direct Messaging Address | North Chili, NY 14514
Full Record
- NPI
- 1922289107
- Entity Type
- Individual
- Last Name
- Graham
- First Name
- Philip
- Middle Name
- Douglas
- Credential
- PA
- Mailing Street Address
- PO Box 505
- Mailing City
- North Chilli
- Mailing State
- NY
- Mailing ZIP Code
- 14514-0505
- Mailing Country
- US
- Mailing Phone
- (585) 594-5995
- Mailing Fax
- (585) 594-5425
- Practice Street Address
- 4201 Buffalo Road
- Practice Address Line 2
- Suite 1
- Practice City
- North Chili
- Practice State
- NY
- Practice ZIP Code
- 14514-1256
- Practice Country
- US
- Practice Phone
- (585) 594-5995
- Practice Fax
- (585) 594-5995
- Enumeration Date
- November 16, 2007
- Last Updated
- July 18, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 02942809 (NY)