Provider Demographics
NPI:1386682243
Name:GRAF, DEBORAH S (PA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:S
Last Name:GRAF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 ENCHANTED FRST N
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-3343
Mailing Address - Country:US
Mailing Address - Phone:716-668-3285
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-5852
Practice Address - Fax:716-898-3187
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005399363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000570277006OtherHEALTH NOW
NY9512108OtherINDEPENDENT HEALTH
NY00021054802OtherEXCELLUS UNIVERA
NY00021054802OtherEXCELLUS UNIVERA
NYPA1558Medicare PIN
NY000570277006OtherHEALTH NOW