Search › New York › 176B00000X
Tisha Graham, CPM, ICBD, ICCE, CLC
NPI 1952099376 · on the registry since 2023
Practice
- Address
- 40 Washington Avenue
Round Lake, NY 12151 - Phone
- (518) 366-2159
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Also registered as
- 174N00000X
374J00000X - Licence states on file
- NY, VT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York