Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genevieve Ann Gravina

Individual provider Mental Health Counselor · NPI 1376217802

Genevieve Ann Gravina is a Mental Health Counselor in East Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

200 Carleton Ave Ste D
East Islip, NY 11730-1222
Phone: (631) 579-3503
Fax: (631) 446-1136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 011508 (NY)

Record details

NPI number1376217802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2021
Last updated in NPPESAugust 7, 2021
Certification dateAugust 7, 2021

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