Healthcare Provider Details

I. General information

NPI: 1144413196
Provider Name (Legal Business Name): STEVEN RATNER,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 RICHMOND RD
STATEN ISLAND NY
10304-2413
US

IV. Provider business mailing address

1011 RICHMOND RD
STATEN ISLAND NY
10304-2413
US

V. Phone/Fax

Practice location:
  • Phone: 718-981-1800
  • Fax: 718-981-4774
Mailing address:
  • Phone: 718-981-1800
  • Fax: 718-981-4774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number023709
License Number StateNY

VIII. Authorized Official

Name: DR. STEVEN RATNER RATNER
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 718-981-1800