Individual
MR. GARY DAVIDON GRAVADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
102 RIVERS EDGE RD, NEW YORK, NY 10035-1163
(646) 672-5800
Mailing address
14911 SANFORD AVE FL 3, FLUSHING, NY 11355-1028
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
468909
NY
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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