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NPI Code Detail

MEDICARE: DR. JAMES ROBERT GRAZIANO D.C.

MEDICARE:  DR. JAMES ROBERT GRAZIANO  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor010072NY

General Provider Information

NPI Number : 1023001070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ROBERT GRAZIANO D.C.
Provider Business Mailing Address
First Line : 2500 NESCONSET HWY
Second Line : BUILDING 12A
City : STONY BROOK
State : NY
Zip : 11790-2555
Country : US
Telephone Number : 631-877-1789
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NESCONSET HWY
Second Line : BUILDING 12A
City : STONY BROOK
State : NY
Zip : 11790-2555
Country : US
Telephone Number : 631-877-1789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 03/23/2009

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Directions to “ DR. JAMES ROBERT GRAZIANO D.C.” Practice Location

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