GEORGINA GRAVIANO

CORAM, NY
NPI1730890344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  331134)
Enumeration Date2022-12-06
Last Update Date2022-12-06
Business Address
GEORGINA GRAVIANO
82 SAMANTHA DR
CORAM, NY 11727-4502
Phone number: 631-905-6270
Mailing Address
GEORGINA GRAVIANO
82 SAMANTHA DR
CORAM, NY 11727-4502
Phone number: 631-905-6270