Provider Demographics
NPI:1033795620
Name:GRABER, KAYLA BABBUSH (MD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:BABBUSH
Last Name:GRABER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3 DELAWARE DR STE 205
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1116
Mailing Address - Country:US
Mailing Address - Phone:516-608-2830
Mailing Address - Fax:516-622-6199
Practice Address - Street 1:3 DELAWARE DR STE 205
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1116
Practice Address - Country:US
Practice Address - Phone:516-608-2830
Practice Address - Fax:516-622-6199
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY327937207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology