Graham, La Risa

Graham, La Risa is an sole proprietor health care provider with primary practice located at 6143 186Th St Ste 599 , Fresh Meadows NY 11365-2710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Graham, La Risa can be contacted via phone (551) 209-3506.

Contact Information

Primary practice address
6143 186Th St Ste 599 Fresh Meadows NY 11365-2710
Phone: (551) 209-3506
Fax: (609) 363-1347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ14844200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404814 New York
Nursing Service Providers / Registered Nurse 163W00000X 794434 New York

Profile Details

NPI number 1164769030
LBN Legal business name Graham, La Risa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2013
Last updated Sep 7th, 2025 - about last year

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 1164769030 NPPES
Other NONE NONE

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