Provider Demographics
NPI:1932475209
Name:GRAFFEO, ELAINE LOUISE (RN)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:LOUISE
Last Name:GRAFFEO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 PROSPECT AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1658
Mailing Address - Country:US
Mailing Address - Phone:516-837-3442
Mailing Address - Fax:
Practice Address - Street 1:10102 ROCKAWAY BLVD
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2229
Practice Address - Country:US
Practice Address - Phone:718-322-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3732771163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse