Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANELLE TASHAE GRAHAM, PA-C
ActiveSHANELLE TASHAE GRAHAM, PA-C is a Medical Physician Assistant healthcare provider located in OCEANSIDE, New York. NPI 1972027092 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · OCEANSIDE, NY
Registration Details
- NPI Number
- 1972027092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2017 (9.056657677663 yrs)
- Last Updated
- Jul 31, 2017
- License
-
20801 (NY)
Practice Information
- Address
-
1 HEALTHY WAYOCEANSIDE, NY, 115721551Browse NY providers · Browse ZIP 11572
- Phone
- 5166323000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in OCEANSIDE, NY
| Name | Credential | NPI |
|---|---|---|
| SHOSHANA YETTA GERLITZ | PA | 1306888169 |
| MS. KRISTIN M ORRICO | RPA-C | 1003035197 |
| STEPHEN F FUNK | PA-C | 1164846747 |
| KYLE COLQUHOUN | PA-C | 1841674454 |
| WAQAS ALI | — | 1194223834 |
| DEVIN MCCARTHY | PA-C | 1639906100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.