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

Shaunette Graham

Individual provider Specialist · NPI 1104205202

Shaunette Graham is a Specialist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

159 W 127th St
New York, NY 10027-3723 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 752-7575
Fax: (212) 750-5334
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 478233 (NY)

Record details

NPI number1104205202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015

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