Mr. Badri Anthony Gravesande
Addiction Psychologist (Substance Use Disorder)
75 Vanderbilt Ave
Staten Island
, New York 10304-2604
Mr. Badri Anthony Gravesande
Addiction Psychologist (Substance Use Disorder)
75 Vanderbilt Ave
Staten Island
, New York 10304-2604
(718) 818-5638
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Badri Anthony Gravesande
- 75 Vanderbilt Ave
- Staten Island, NY
- Zip : 10304-2604
- Phone : (718) 818-5638
Second Address
- Mr. Badri Anthony Gravesande
- 75 Vanderbilt Ave
- Staten Island, NY
- Zip : 10304-2604
- Phone : (718) 818-5638
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 003899 | NY |
National Provider Identifier
| NPI | 1245540178 |
|---|---|
| Provider Name | Mr. Badri Anthony Gravesande |
| First Address | Staten Island, NY 10304-2604 |
| Second Address | Staten Island, NY 10304-2604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2010 |
| Last Update Date | 13/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.