Frank Graziano
Individual provider Active NPI Dentist · Tuckahoe, NY
NPI 1881895308 · NPPES record last updated Apr 11, 2008
Key facts
- NPI
- 1881895308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 037917 (NY)
- Practice address
- 40 Fisher Ave
Tuckahoe, NY 10707-2610 - Phone
- (914) 793-4411
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037917 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crestwood Dental Services,P.C. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 037917 | NY | Yes |
Addresses
Primary practice location
40 Fisher Ave
Tuckahoe, NY 10707-2610
Mailing address
40 Fisher Ave
Tuckahoe, NY 10707-2610
Phone (914) 793-4411
Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.