Healthcare Provider Details

I. General information

NPI: 1134761901
Provider Name (Legal Business Name): AURIELLE GRAZIANO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 S POPLAR ST REAR
HAZLETON PA
18201-7447
US

IV. Provider business mailing address

228 NEWTON RD
SCRANTON PA
18504-1008
US

V. Phone/Fax

Practice location:
  • Phone: 267-668-2908
  • Fax:
Mailing address:
  • Phone: 570-903-0472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011509
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: