Individual
JASON RAVIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
317034
NY
Other
Enumeration date
05/01/2018
Last updated
10/14/2022
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