Provider Demographics
NPI:1306993936
Name:GRAF, AARON (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:GRAF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-2608
Mailing Address - Country:US
Mailing Address - Phone:914-395-3977
Mailing Address - Fax:914-395-3980
Practice Address - Street 1:165 FISHER AVE
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-2608
Practice Address - Country:US
Practice Address - Phone:914-395-3977
Practice Address - Fax:914-395-3980
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009119-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX4B02TW871Medicare PIN