Gravesande, Badri Anthony

Gravesande, Badri Anthony is an individual health care provider with primary practice located at 75 Vanderbilt Ave , Staten Island NY 10304-2604. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gravesande, Badri Anthony can be contacted via phone (718) 818-5638.

Contact Information

Primary practice address
75 Vanderbilt Ave Staten Island NY 10304-2604
Phone: (718) 818-5638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 003899 New York

Profile Details

NPI number 1245540178
LBN Legal business name Gravesande, Badri Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2010
Last updated Oct 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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