| Ethan A Graham Phd Psychologist Pllc | |
|
330 West 58th Street Suite 405 New York NY 10019-1820 | |
| (718) 702-2437 | |
| Not Available |
| Full Name | Ethan A Graham Phd Psychologist Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 330 West 58th Street, New York, New York |
| Authorized Official Name and Position | Ethan A Graham (PSYCHOLOGIST) |
| Authorized Official Contact | 7187022437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan A Graham Phd Psychologist Pllc 330 West 58th Street Suite 405 New York NY 10019-1820 Ph: (718) 702-2437 | Ethan A Graham Phd Psychologist Pllc 330 West 58th Street Suite 405 New York NY 10019-1820 Ph: (718) 702-2437 |
| NPI Number | 1174800791 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 018415 (New York) | Primary |
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