MR. BADRI ANTHONY GRAVESANDE PA NPI 1245540178

NPI Information

MR. Badri Anthony Gravesande, PA is an addiction (substance use disorder) psychologist in Staten Island, NY. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. MR. Badri Anthony Gravesande, PA NPI is 1245540178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 VANDERBILT AVE
STATEN ISLAND, NY
ZIP 10304-604
Phone: (718) 818-5638

The enumeration date for this NPI number is 10/13/2010 and was last updated on 10/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.