Graviano, Maryanne

Graviano, Maryanne is an sole proprietor health care provider with primary practice located at 20 Montauk Hwy , Blue Point NY 11715-1139. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graviano, Maryanne can be contacted via phone (631) 655-2766.

Contact Information

Primary practice address
20 Montauk Hwy Blue Point NY 11715-1139
Fax: (631) 363-0027
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R071030-1 New York

Profile Details

NPI number 1053312454
LBN Legal business name Graviano, Maryanne
Credentials LCSW-R, BCD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated May 6th, 2013 - about 12 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.

Request for update

Popular Providers