Capo-Granata, Angela T

Capo-Granata, Angela T is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Capo-Granata, Angela T can be contacted via phone (516) 629-2400.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 180012 New York

Profile Details

NPI number 1598854051
LBN Legal business name Capo-Granata, Angela T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Dec 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598854051 NPPES
New York MEDICAID 01245147

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