GENEVIEVE ANN GRAVINA NPI 1376217802

NPI Information

  • NPI: 1376217802
  • Provider Name: GENEVIEVE ANN GRAVINA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 200 CARLETON AVE STE D
    EAST ISLIP, NY
    ZIP 11730
  • Phone: (631) 579-3503

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NPI Details

Genevieve Ann Gravina is a mental health counselor in East Islip, NY. Genevieve Ann Gravina NPI is 1376217802. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 CARLETON AVE STE D
EAST ISLIP, NY
ZIP 11730-222
Phone: (631) 579-3503
Fax: (631) 446-1136

The enumeration date for this NPI number is 8/7/2021 and was last updated on 8/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health011508NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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