Individual
KRISTINE L GRAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
207 WALNUT LN, SLINGERLANDS, NY 12159-9519
(518) 265-3388
Mailing address
207 WALNUT LN, SLINGERLANDS, NY 12159-9519
(518) 265-3388
(518) 265-3388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015631-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02567655
—
NY
Enumeration date
07/17/2006
Last updated
07/25/2025
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