Individual
RAVEENA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(708) 973-1922
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(708) 973-1922
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
325893
NY
2084P0802X
Addiction Psychiatry Physician
Primary
325893
NY
Other
Enumeration date
04/13/2020
Last updated
06/25/2025
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