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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN A GRAHAM PHD PSYCHOLOGIST PLLC

Active Organization

ETHAN A GRAHAM PHD PSYCHOLOGIST PLLC is a Clinical Psychologist organization located in NEW YORK, New York. NPI 1174800791 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · NEW YORK, NY

Registration Details

NPI Number
1174800791
Provider Type
Organization
NPI Issued
Nov 10, 2011 (14.779219543088 yrs)
Last Updated
Nov 10, 2011
License
018415 (NY)

Practice Information

Address
330 WEST 58TH STREET
SUITE 405
NEW YORK, NY, 100191820
Browse NY providers · Browse ZIP 10019
Phone
7187022437
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.