Mr. Badri Anthony Gravesande, PA

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1245540178

Mr. Badri Anthony Gravesande, PA is an Addiction (Substance Use Disorder) Psychologist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in: NY
In the registry since: 2010

What do these letters mean?

PA — Physician Assistant: A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

75 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone: (718) 818-5638

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary)	Taxonomy 103TA0400X · Licence 003899 (NY)

Record details

NPI number	1245540178
Entity type	Individual (Type 1)
Gender	Male
Credentials	PA
Sole proprietor	No
NPI enumerated	October 13, 2010
Last updated in NPPES	October 13, 2010