Provider Demographics
NPI:1184171209
Name:GRAZIANI, JOSEPH (PT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GRAZIANI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 BROADVIEW DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3301
Mailing Address - Country:US
Mailing Address - Phone:914-400-5972
Mailing Address - Fax:
Practice Address - Street 1:2607 BROADVIEW DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-3301
Practice Address - Country:US
Practice Address - Phone:914-400-5971
Practice Address - Fax:914-962-6477
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62-006824251C00000X
NY006824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No251C00000XAgenciesDay Training, Developmentally Disabled Services