Christine Madaline Graham

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

26 Trask LN
Babylon, NY 11702-4007

Phone

(631) 671-9939

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1629786058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TRASK LN",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024007",
            "telephone_number": "631-671-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TRASK LN",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024007",
            "telephone_number": "631-671-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTINE",
        "middle_name": "MADALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn D. Arvan MD, PC
• David Mitchell Gold, MD
• Linda M Goldberg
• Ashley Goldstein
• Pamela N Goldstein, LMSW
• Katerina Brianna Graham, CAT-LP
• Sharon Greaney-Watt, LCSW
• Lea Maria Therese Green, MHC-LP
• Victoria Green, LMHC
• Robert E Gribbin

• Early Intervention Provider Agency in Babylon, NY
• Providers in Babylon, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.