Provider Demographics
NPI:1528052933
Name:GRAF, CHRISTINE (AUD)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ALBERTA DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1814
Mailing Address - Country:US
Mailing Address - Phone:716-838-5360
Mailing Address - Fax:
Practice Address - Street 1:315 ALBERTA DR
Practice Address - Street 2:SUITE 105
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1814
Practice Address - Country:US
Practice Address - Phone:716-838-5360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001196-1231H00000X, 231HA2400X, 231HA2500X
NY14000004922237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4800077OtherGHI ID#
NY000576012001OtherBLUE CROSS ID NUMBER
NY9210312OtherIHA ID#
NY000000070116OtherGHI HMO ID#
NY00011175801OtherUNIVERA ID#
NY03959OtherHEAR USA NETWORK
NY00011175801OtherUNIVERA ID#
NY4800077OtherGHI ID#