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General NPI Number Information
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NPI Number | 1225527112
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Entity Type | Organization
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Legal Business Name | DOWNTOWN NEUROLOGY AND PAIN MEDICINE, PLLC
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 363 7TH AVE FL 18
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 917-983-1943
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Fax |
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Provider Business Mailing Address
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Address Line | 363 7TH AVE FL 18
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City | NEW YORK
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State | NY
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Zip | 10001-3904
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Country | US
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Telephone | 917-798-3194
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Fax | 212-504-7912
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Authorized Official
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Title or Position | MD
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Name | RISA M RAVITZ
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Credential | MD
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Telephone | 917-983-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | NY
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