Healthcare Provider Details

I. General information

NPI: 1720993645
Provider Name (Legal Business Name): ANTHONY GRANIELA DNP, AGACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SCIENCE AND INNOVATION CENTER 152 HOFSTRA UNIVERSITY
HEMPSTEAD NY
11549-0001
US

IV. Provider business mailing address

215 BRIX PL
UNIONDALE NY
11553-3081
US

V. Phone/Fax

Practice location:
  • Phone: 516-463-7470
  • Fax:
Mailing address:
  • Phone: 646-647-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: