NPI 1801549845

Todd Brandon Graham

Practitioner Military Clinical Medical Laboratory Saint Albans, NY

Practice location

Address: 18807 Dunkirk Dr APT 1, Saint Albans, NY 11412-3002
Phone: (646) 436-0201

Registered specialties

Military Clinical Medical Laboratory Primary

Laboratories Taxonomy 291900000X Licence 014175 (NY)

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Registry record

NPI: 1801549845
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2022
Record last updated: 31 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.