Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 202373-1 | NY |
NPI | 1114032125 |
---|---|
Provider Name | Sheela S Graney |
First Address | Latham, NY 12110-2162 |
Second Address | Latham, NY 12110-2162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000401340001 | BLUE SHIELD OF NENY (01) | NY |
01762674 | (05) | NY |
10021167 | CDPHP (01) | NY |
964787 | MVP (01) | NY |