Provider Demographics
NPI:1457694994
Name:GRAFF, SUSAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:GRAFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:WARSHAFSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3402 ROUTE 8
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101
Mailing Address - Country:US
Mailing Address - Phone:412-486-3181
Mailing Address - Fax:412-486-5297
Practice Address - Street 1:3402 ROUTE 8
Practice Address - Street 2:PITTSBURGH GYNOB INC
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101
Practice Address - Country:US
Practice Address - Phone:412-486-3181
Practice Address - Fax:412-486-5297
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056038363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant