Doctor Name: | MARLENE GRAFF |
NPI Number: | 1235505082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 476683-1 |
Business Practice Address: | 319 Central Ave Dunkirk, NY - 140482137 |
Business Phone Number: | 7163633550 |
Business Fax Number: | 7163633716 |
Mailing Address: | 7 N Erie St, MAYVILLE |
State: | NY |
Postal Code: | 147571095 |
Phone Number: | 7167534104 |
Fax Number: | 7167534230 |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 476683-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |