Graham, Tisha

Graham, Tisha is an individual health care provider with primary practice located at 40 Washington Avenue , Round Lake NY 12151. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Graham, Tisha can be contacted via phone (518) 366-2159.

Contact Information

Primary practice address
40 Washington Avenue Round Lake NY 12151
Phone: (518) 366-2159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X New York
Nursing Service Related Providers / Doula 374J00000X New York
Other Service Providers / Midwife 176B00000X 107.0085724 Vermont

Profile Details

NPI number 1952099376
LBN Legal business name Graham, Tisha
Credentials CPM, ICBD, ICCE, CLC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2023
Last updated Apr 25th, 2023 - about 3 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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