Graham, Philip Douglas

Graham, Philip Douglas is an individual health care provider with primary practice located at 4201 Buffalo Road Suite 1, North Chili NY 14514-1256. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Graham, Philip Douglas can be contacted via phone (585) 594-5995.

Contact Information

Primary practice address
4201 Buffalo Road Suite 1 North Chili NY 14514-1256
Phone: (585) 594-5995
Fax: (585) 594-5995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012180 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012180 New York

Profile Details

NPI number 1922289107
LBN Legal business name Graham, Philip Douglas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Jul 18th, 2023 - about 2 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 1922289107 NPPES
New York MEDICAID 02942809

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