Individual
DR. DAN RAVIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
133 W 25TH ST, #3, NEW YORK, NY 10001-7206
(516) 695-3925
Mailing address
1051 FENWOOD DR, #3, VALLEY STREAM, NY 11580-2412
(516) 812-6672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000276
NY
102L00000X
Psychoanalyst
000571
NY
Other
Enumeration date
05/10/2007
Last updated
06/11/2010
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