Graham, Elizabeth Charlene

Graham, Elizabeth Charlene is an sole proprietor health care provider with primary practice located at 30 Crescent Ave , Saratoga Springs NY 12866-5142. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Elizabeth Charlene can be contacted via phone (518) 584-3600.

Contact Information

Primary practice address
30 Crescent Ave Saratoga Springs NY 12866-5142
Phone: (518) 584-3600
Fax: (518) 584-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330295 New York

Profile Details

NPI number 1689887424
LBN Legal business name Graham, Elizabeth Charlene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689887424 NPPES
New York Other F330295 N.P. LICENSE NUMBER

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