Gravina, Genevieve Ann

Gravina, Genevieve Ann is an sole proprietor health care provider with primary practice located at 200 Carleton Ave Ste D , East Islip NY 11730-1222. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gravina, Genevieve Ann can be contacted via phone (631) 579-3503.

Contact Information

Primary practice address
200 Carleton Ave Ste D East Islip NY 11730-1222
Fax: (631) 446-1136
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 011508 New York

Profile Details

NPI number 1376217802
LBN Legal business name Gravina, Genevieve Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2021
Last updated Aug 7th, 2021 - about 3 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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