Maryanne Graviano in Kings Park - Clinical
Maryanne Graviano - NPI 1053312454
Maryanne Graviano is a Clinical in Kings Park, New York. Maryanne Graviano practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maryanne Graviano is 1053312454. The last update date is 2013-05-06.
Maryanne Graviano's current location address is Po Box 423, Kings Park, New York. You can contact this provider via phone number 6316552766 and fax number 6313630027. The mailing address for Maryanne Graviano is Po Box 423, Kings Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryanne Graviano |
|---|---|
| Address | Po Box 423, Kings Park, New York |
| Phone Number | 6316552766 |
| Fax Number | 6313630027 |
| Sole Proprietor | Y |
| Credentials | LCSW-R, BC |
NPI Number Detail
| NPI Number | 1053312454 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2013-05-06 |
Provider Mailing Address Detail
| Address | Po Box 423 |
|---|---|
| City | Kings Park |
| State | New York (NY) |
| Post Code | 117540423 |
| Phone Number | 6316552766 |
| Fax Number | 6313630027 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R071030-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Maryanne Graviano by the Centers for Medicare & Medicaid Services?
The Maryanne Graviano has been assigned the NPI (National Provider Identifier) 1053312454. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Maryanne Graviano's physical address?
The Maryanne Graviano is physically located at Po Box 423, in the city of Kings Park, NY, with the postal code 117540423.
What is Maryanne Graviano's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maryanne Graviano is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Maryanne Graviano receive its 1053312454?
The Maryanne Graviano was issued its 1053312454 on 2005-08-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Maryanne Graviano most recently updated or revised?
The details related to Maryanne Graviano, including its address, specialty, and other relevant information, were last updated or revised on 2013-05-06.