Eda Graham, is a
Counselor - School based in Ravena, New York. Eda Graham is licensed to practice in New York (license number 117708) and her current practice location is
2025 Route 9w, Ravena, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 935-8258.
NPI number for Eda Graham is 1558087296 and her current mailing address is 21 Park Ln S Apt 2, Menands, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558087296.
Healthcare Provider's Profile
| Full Name | Eda Graham |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - School |
|---|
| Location | 2025 Route 9w, Ravena, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558087296
- Provider Enumeration Date: 10/14/2022
- Last Update Date: 10/14/2022
Medical Identifiers
Medical identifiers for Eda Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558087296 | NPI | - | NPPES |
| 117708 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 117708 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eda Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eda Graham,
21 Park Ln S Apt 2,
Menands, NY 12204-1940
Ph: (518) 935-8258 | Eda Graham,
2025 Route 9w,
Ravena, NY 12143
Ph: (518) 935-8258 |
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