MEDICARE: JOSEPH GRAZIANI P.T.

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
1	251C00000X	Developmentally Disabled Services Day Training Agency	62-006824	NY
2	225100000X	Physical Therapist	006824	NY

General Provider Information

NPI Number	:	1184171209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH GRAZIANI P.T.

Provider Business Mailing Address
First Line	:	2607 BROADVIEW DR
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-3301
Country	:	US
Telephone Number	:	914-400-5972
Fax Number	:

Provider Business Practice Location Address
First Line	:	2607 BROADVIEW DR
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-3301
Country	:	US
Telephone Number	:	914-400-5971
Fax Number	:	914-962-6477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	02/27/2023

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