MEDICARE: STEVEN RATNER,P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	023709	NY

General Provider Information

NPI Number	:	1144413196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN RATNER,P.C.

Provider Business Mailing Address
First Line	:	1011 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2413
Country	:	US
Telephone Number	:	718-981-1800
Fax Number	:	718-981-4774

Provider Business Practice Location Address
First Line	:	1011 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2413
Country	:	US
Telephone Number	:	718-981-1800
Fax Number	:	718-981-4774

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN RATNER RATNER
Credential	:	D.D.S.
Telephone Number	:	718-981-1800

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	08/23/2007

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