Individual provider · Type 1 NPI

Genevieve Ann Gravina

Mental Health Counselor · East Islip, NY

NPI number 1376217802 Active

Practice location

200 Carleton Ave Ste D
East Islip, NY 11730-1222

Fax (631) 446-1136

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X011508 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1376217802

Genevieve Ann Gravina's National Provider Identifier is 1376217802, issued on Aug 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Islip, NY. The record was last updated on Aug 7, 2021.