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General NPI Number Information
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NPI Number | 1477552248
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Entity Type | Individual
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Provider Name | CLIFFORD MARC RATNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 600 MAMARONECK AVE SUITE 103
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City | HARRISON
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State | NY
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Zip | 10528-1635
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Country | US
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Telephone | 914-381-4030
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Fax | 914-381-3144
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Provider Business Mailing Address
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Address Line | 600 MAMARONECK AVE SUITE 103
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City | HARRISON
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State | NY
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Zip | 10528-1635
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Country | US
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Telephone | 914-381-4030
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Fax | 914-381-3144
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 207W00000X
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 133707
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License Number State | NY
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