Provider Demographics
NPI:1952531816
Name:GRAF, ELIZABETH PAGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PAGE
Last Name:GRAF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LAFAYETTE ST
Mailing Address - Street 2:SUITE 1209
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3311
Mailing Address - Country:US
Mailing Address - Phone:917-902-8351
Mailing Address - Fax:
Practice Address - Street 1:270 LAFAYETTE ST
Practice Address - Street 2:SUITE 1209
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3311
Practice Address - Country:US
Practice Address - Phone:917-902-8351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist