Provider Demographics
NPI:1689660508
Name:GRAFF, JONATHAN AARON (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:AARON
Last Name:GRAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5611 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5411
Mailing Address - Country:US
Mailing Address - Phone:716-631-8500
Mailing Address - Fax:716-631-5101
Practice Address - Street 1:5611 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5411
Practice Address - Country:US
Practice Address - Phone:716-631-8500
Practice Address - Fax:716-631-5101
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160401012082S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD68565Medicare ID - Type Unspecified
F14312Medicare UPIN