Antwan Graham
Counselor in Pleasantville, NY. Individual provider (NPI-1).
NPI number1710734603
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1710734603
- Entity type
- Individual (NPI-1)
- Name
- Antwan Graham
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1075 BroadwayPleasantville, NY 10570-2346
Phone 914-773-6901
Mailing address
1075 BroadwayPleasantville, NY 10570-2346
Phone 914-773-6901
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All 60 Counselor providers in Pleasantville · All 557 providers in Pleasantville
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