Individual
ROBERTO E GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4046 75TH ST, ELMHURST, NY 11373-1012
(718) 335-1437
(718) 899-1846
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
172297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618299
—
NY
Enumeration date
06/28/2006
Last updated
10/01/2015
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