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NPI Code Detail

MEDICARE: MR. PAUL EDWARD GRAF LCSW

MEDICARE:  MR. PAUL EDWARD GRAF  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR029530-1NY

General Provider Information

NPI Number : 1033269493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL EDWARD GRAF LCSW
Provider Business Mailing Address
First Line : 60 WEST ST
Second Line :
City : WARWICK
State : NY
Zip : 10990-1430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 RONALD REAGAN BLVD
Second Line :
City : WARWICK
State : NY
Zip : 10990-4106
Country : US
Telephone Number : 646-285-4902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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Directions to “ MR. PAUL EDWARD GRAF LCSW” Practice Location

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