Vicki Lynn Graziano

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

38 Buckingham Dr
Holbrook, NY 11741-2880

Phone

(631) 738-0310

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Vicki Lynn Cruz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowering Minds Therapy Inc.

  • Early Intervention Provider Agency
  • Holbrook, NY
  • NPI 1043366248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1154004067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WASHINGTON AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421046",
            "telephone_number": "631-834-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BUCKINGHAM DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412880",
            "telephone_number": "631-738-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "CRUZ",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miles D. Gorenkoff, D.M.D.
• Roberta Anne Gozza, R.N.
• Robert P Graeber
• Gianna Gransasso
• Patricia Marie Grayson, PH.D.
• Greenberg & Weiner Eye Physicians and Surgeons, P.C.
• Stephen Robert Greenberg, M.D.
• Greg B. Cinski DMD., PLLC
• Lindsey Ann Grodner, MS, LMHC
• Johana Alexandra Guerron, LPN

• Specialist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.