Provider Demographics
NPI:1518207406
Name:STRAUS, GRAIG SCOTT (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:GRAIG
Middle Name:SCOTT
Last Name:STRAUS
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 S ROUTE 9W
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1047
Mailing Address - Country:US
Mailing Address - Phone:845-429-4000
Mailing Address - Fax:845-429-4022
Practice Address - Street 1:89 S ROUTE 9W
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1047
Practice Address - Country:US
Practice Address - Phone:845-429-4000
Practice Address - Fax:845-429-4022
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily