SHAUNETTE GRAHAM - NPI 1104205202 - Specialist in New York, NY

Q: What is Shaunette Graham's NPI number?

The NPI number for Shaunette Graham is 1104205202. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Q: What is Shaunette Graham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Shaunette Graham was last updated on May 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shaunette Graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUNETTE GRAHAM (NPI 1104205202) is an individual specialist in New York, New York, licensed in New York (478233) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1104205202

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSHAUNETTE GRAHAM

Location Address159 W 127TH STNew York, NY 10027-3723

Mailing Address159 W 127th StNew York, NY 10027-3723 · (212) 752-7575 · Fax (212) 750-5334

Phone(212) 752-7575

Fax(212) 750-5334

Sole ProprietorYes

Enumeration DateMay 21, 2015

✔ NPI 1104205202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 478233

Definition

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.

159 W 127TH ST, New York, NY 10027

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