Graff, Kerry Widdersheim

Graff, Kerry Widdersheim is an sole proprietor health care provider with primary practice located at 502 S Main St Lake Country Family Medicine, Canandaigua NY 14424-2242. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Graff, Kerry Widdersheim can be contacted via phone (585) 394-1875.

Contact Information

Primary practice address
502 S Main St Lake Country Family Medicine Canandaigua NY 14424-2242
Phone: (585) 394-1875
Fax: (888) 990-2283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 207638 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 207638 New York

Profile Details

NPI number 1700827375
LBN Legal business name Graff, Kerry Widdersheim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Oct 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700827375 NPPES
New York Other 000921058001 HEALTHNOW
New York Other 0520 HEALTHNOW
New York MEDICAID 02048819 HEALTHNOW
New York Other P010207638 HEALTHNOW
New York Other 101717BF HEALTHNOW

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