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EDA GRAHAM
NPI 1558087296
Counselor - School in Ravena, NY

Active since October 14, 2022
2025 ROUTE 9W, RAVENA, NY 12143(518) 935-8258 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eda Graham NPPES

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

EDA GRAHAM (NPI 1558087296) is an individual school provider in Ravena, New York, licensed in New York (117708) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1558087296
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameEDA GRAHAM
Location Address2025 ROUTE 9WRavena, NY 12143
Mailing Address21 Park Ln S Apt 2Menands, NY 12204-1940 · (518) 935-8258
Phone(518) 935-8258
Sole ProprietorNo
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1558087296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in NY · 117708
2025 ROUTE 9W, Ravena, NY 12143
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Other Identifiers 1

Medicaid117708NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eda Graham's NPI number?

The NPI number for Eda Graham is 1558087296. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Eda Graham located?

Eda Graham practices at 2025 Route 9W, Ravena, NY 12143. The listed phone number is (518) 935-8258.

What is Eda Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Eda Graham was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.