La Risa Graham, APRN - Nurse Practitioner in Fresh Meadows, NY

La Risa Graham, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Fresh Meadows, New York. La Risa Graham is licensed to practice in New York (license number 404814) and her current practice location is 6143 186th St Ste 599, Fresh Meadows, New York. She can be reached at her office (for appointments etc.) via phone at (551) 209-3506.

NPI number for La Risa Graham is 1164769030 and her current mailing address is 6143 Springfield Blvd Unit 640221, Bayside, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164769030.

Contact Information

La Risa Graham, APRN
6143 186th St Ste 599,
Fresh Meadows, NY 11365-2710
(551) 209-3506
(609) 363-1347

Map and Direction




Provider's Profile

Full NameLa Risa Graham
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6143 186th St Ste 599, Fresh Meadows, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164769030
  • Provider Enumeration Date: 01/11/2013
  • Last Update Date: 09/07/2025

Medical Identifiers

Medical identifiers for La Risa Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164769030NPI-NPPES
NONEOtherNONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ14844200 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 404814 (New York)Primary
163W00000XRegistered Nurse 794434 (New York)Secondary

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. La Risa 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 AddressPractice Location Address
La Risa Graham, APRN
6143 Springfield Blvd Unit 640221,
Bayside, NY 11364-3480

Ph: (347) 753-8833
La Risa Graham, APRN
6143 186th St Ste 599,
Fresh Meadows, NY 11365-2710

Ph: (551) 209-3506

Reviews and Comments


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Phone: 917-387-5478    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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