EDA GRAHAM NPI 1558087296

NPI Information

NPI: 1558087296
Provider Name: EDA GRAHAM
Classification: Counselor - 101YS0200X
Specialization: School
Entity Type: Individual
Address: 2025 ROUTE 9W
RAVENA, NY
ZIP 12143
Phone: (518) 935-8258

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NPI Details

Eda Graham is a school counselor in Ravena, NY. Eda Graham NPI is 1558087296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2025 ROUTE 9W
RAVENA, NY
ZIP 12143
Phone: (518) 935-8258

The enumeration date for this NPI number is 10/14/2022 and was last updated on 10/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	117708	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	117708	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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