Provider Demographics
NPI:1356322770
Name:GRAFMULLER, DAVID ANDREW (MSPT, CLT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ANDREW
Last Name:GRAFMULLER
Suffix:
Gender:M
Credentials:MSPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 MYERS CORNERS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3869
Mailing Address - Country:US
Mailing Address - Phone:845-298-5000
Mailing Address - Fax:
Practice Address - Street 1:167 MYERS CORNERS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-3869
Practice Address - Country:US
Practice Address - Phone:845-298-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024367225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2312986OtherUNITED HEALTH CARE
3093052OtherAETNA HMO
833753OtherMANAGED PHYSICAL NETWORK
10086291OtherCDPHP
98446OtherOPERATING ENGNRS LCL 825
Q09S31OtherBLUE CROSS BLUE SHIELD
000409359001OtherHEALTH NOW
2164971OtherCCN
P3297940OtherOXFORD
4126156OtherMVP
7300422OtherAETNA PPO
NYQ07H71Medicare ID - Type UnspecifiedMEDICARE