Granati, Glen Thomas

Granati, Glen Thomas is an individual health care provider with primary practice located at Mather Hospital, 75 N Country Rd , Port Jefferson NY 11777. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Granati, Glen Thomas can be contacted via phone (631) 473-1320.

Contact Information

Primary practice address
Mather Hospital, 75 N Country Rd Port Jefferson NY 11777
Phone: (631) 473-1320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 302485 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 302485 New York

Profile Details

NPI number 1467872739
LBN Legal business name Granati, Glen Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Sep 10th, 2020 - about 5 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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