Individual
DR. AVINASH RAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
150 W 22ND ST FL 8, NEW YORK, NY 10011-6557
(470) 594-4450
Mailing address
PO BOX 23607, NEW YORK, NY 10087-3607
(646) 809-4094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB10481300
NJ
208D00000X
General Practice Physician
Primary
304276
NY
Other
Enumeration date
06/30/2015
Last updated
01/30/2025
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