Basic Information
| Provider Information | |||||||||
| NPI: | 1376271973 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAZIANO | ||||||||
| FirstName: | ALAINA | ||||||||
| MiddleName: | COSTANDINA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 EDI AVE | ||||||||
| Address2: | |||||||||
| City: | PLAINVIEW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 118032106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126169315 | ||||||||
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| Practice Location | |||||||||
| Address1: | 121 EILEEN WAY | ||||||||
| Address2: | |||||||||
| City: | SYOSSET | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117915302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165846400 | ||||||||
| FaxNumber: | 5165846401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2022 | ||||||||
| LastUpdateDate: | 08/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.