Laura Graham
Laura Graham is a Peer Specialist in Massapequa, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
75 Grand AveMassapequa, NY 11758-4905
Phone: (516) 799-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 75 Grand Ave, Massapequa, NY 11758-4905 — (516) 799-3203
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence CRPA-5035 (NY) |
|---|
Record details
| NPI number | 1598463705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 16, 2023 |
| Last updated in NPPES | February 16, 2023 |
| Certification date | February 16, 2023 |
| Mailing address | 75 Grand Ave, Massapequa, NY 11758-4905 |