Graham, Galen
Graham, Galen is an individual health care provider with primary practice located at 601 Riverside Dr , Johnson City NY 13790-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Graham, Galen can be contacted via phone (607) 770-7365.Contact Information
Primary practice address
601 Riverside Dr
Johnson City NY 13790-2544
Phone: (607) 770-7365
Fax: (607) 729-5882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 164470-1 | New York |
Profile Details
| NPI number | 1033110424 |
|---|---|
| LBN Legal business name | Graham, Galen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033110424 | NPPES |
| New York | MEDICAID | 00939579 |
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