Individual
BARBARA ANN GRAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4320 BELL BLVD, BAYSIDE, NY 11361-2865
(718) 631-8208
(718) 631-1419
Mailing address
4320 BELL BLVD, BAYSIDE, NY 11361-2865
(718) 631-8208
(718) 631-1419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049641
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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