Provider Demographics
NPI:1194012930
Name:GRANIT, VOLKAN (MD MSC)
Entity Type:Individual
Prefix:DR
First Name:VOLKAN
Middle Name:
Last Name:GRANIT
Suffix:
Gender:M
Credentials:MD MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 ARLINGTON AVE
Mailing Address - Street 2:APT 22G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1302
Mailing Address - Country:US
Mailing Address - Phone:646-441-0224
Mailing Address - Fax:
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2651032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology