Individual
DR. EDUARDO S GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 MICHAEL FREY DR, EASTCHESTER, NY 10709-2725
(914) 337-3500
(914) 337-3531
Mailing address
PO BOX 28064, NEW YORK, NY 10087-8064
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000178
MEDICARE GROUP PTAN
NY
01
—
P00951941
RAILROAD MEDICARE PTAN
—
Enumeration date
12/18/2006
Last updated
11/05/2015
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