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NPI Code Detail

MEDICARE: RISA M RAVITZ M.D.

MEDICARE:   RISA M RAVITZ  M.D.
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
12084N0400XNeurology Physician256815NY

General Provider Information

NPI Number : 1437205051
Entity Type Code : Individual
Provider Name (Legal Business Name) : RISA M RAVITZ M.D.
Provider Business Mailing Address
First Line : 363 7TH AVE FL 18
Second Line :
City : NEW YORK
State : NY
Zip : 10001-3904
Country : US
Telephone Number : 917-983-1943
Fax Number : 212-504-7912
Provider Business Practice Location Address
First Line : 363 7TH AVE FL 18
Second Line :
City : NEW YORK
State : NY
Zip : 10001-3904
Country : US
Telephone Number : 917-983-1943
Fax Number : 212-504-7912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/12/2024

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Directions to “ RISA M RAVITZ M.D.” Practice Location

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