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Individual

ARRON JORDAN GRAVINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 928-0188
(631) 928-0185
Mailing address
660 WHITE PLAINS RD STE 400, TARRYTOWN, NY 10591-5107
(914) 984-2546

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MB11783300
NJ
207Y00000X
Otolaryngology Physician
Primary
341410
NY

Other

Enumeration date
04/05/2018
Last updated
06/05/2026
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