Individual
MR. RICHARD J DRANITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 BELLE TERRE ROAD, PORT JEFFERSON, NY 17777
(631) 473-5814
Mailing address
635 BELLE TERRE ROAD, PORT JEFFERSON, NY 17777
(631) 473-1602
(631) 473-5814
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
099574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00335731
—
NY
Enumeration date
05/31/2006
Last updated
07/08/2007
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