| Graham Wellness Medical, P.c. | |
|
104 Graham Ave Brooklyn NY 11206-3320 | |
| (718) 218-6616 | |
| (718) 218-6634 |
| Full Name | Graham Wellness Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Graham Ave, Brooklyn, New York |
| Authorized Official Name and Position | Gordon Charles Davis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7185660022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Wellness Medical, P.c. 104 Graham Ave Brooklyn NY 11206-3320 Ph: (718) 218-6616 | Graham Wellness Medical, P.c. 104 Graham Ave Brooklyn NY 11206-3320 Ph: (718) 218-6616 |
| NPI Number | 1386941300 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386941300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 171745 (New York) | Primary |
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