Graham, Kenneth B
Graham, Kenneth B is an individual health care provider with primary practice located at 600 Northern Blvd Suite 216, Great Neck NY 11021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Graham, Kenneth B can be contacted via phone (516) 466-0390.Contact Information
Primary practice address
600 Northern Blvd Suite 216
Great Neck NY 11021
Phone: (516) 466-0390
Fax: (516) 829-0520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 224987 | New York |
Profile Details
| NPI number | 1457464778 |
|---|---|
| LBN Legal business name | Graham, Kenneth B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Oct 8th, 2021 - about 3 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 | 1457464778 | NPPES |
| New York | MEDICAID | 02291707 |
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