Individual provider · Type 1 NPI

Shaunette Graham

Specialist · New York, NY

NPI number 1104205202 Active

Practice location

159 W 127th St
New York, NY 10027-3723

Call (212) 752-7575 Map

Fax (212) 750-5334

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X478233 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104205202

Shaunette Graham's National Provider Identifier is 1104205202, issued on May 21, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on May 21, 2015.