Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nolle L Graham, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1730698747

Nolle L Graham, PHYSICIANASSISTANT is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

E 101 St
New York, NY 10029
Phone: (212) 241-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 021554 (NY)

Record details

NPI number1730698747
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020

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