Organization
ROBERTO C. GRANATO, MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO C. GRANATO MD (PRESIDENT)
(718) 335-1437
Entity
Organization
Contact information
Practice address
4046 75TH ST, ELMHURST, NY 11373-1012
(718) 335-1437
(718) 899-1846
Mailing address
4046 75TH ST, ELMHURST, NY 11373-1012
(718) 335-1437
(718) 899-1846
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39563
GHI MEDICARE
NY
Enumeration date
09/24/2007
Last updated
09/24/2007
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