SHANELLE TASHAE GRAHAM

OCEANSIDE, NY
NPI1972027092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  20801)
Enumeration Date2017-07-31
Last Update Date2017-07-31
Business Address
SHANELLE TASHAE GRAHAM PA-C
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 516-632-3000
Mailing Address
SHANELLE TASHAE GRAHAM PA-C
98 PERRY ST
HEMPSTEAD, NY 11550-5220
Phone number: 347-282-0528
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