Individual provider · Type 1 NPI
Nolle L. Graham, PHYSICIAN ASSISTANT
Surgical Physician Assistant · New York, NY
NPI number
1730698747
Active
Practice location
East 101 Street
New York, NY 10029
Mailing address
1505 Teller Ave Apt 1
Bronx, NY 10457-8704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 021554 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1730698747
Nolle L. Graham, PHYSICIAN ASSISTANT's National Provider Identifier is 1730698747, issued on Sep 21, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jan 14, 2020.