Individual
CASSIA GRAVESANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(347) 685-6309
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021100
NY
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/17/2017
Last updated
07/12/2023
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