Individual
RAVI PARANAVITANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1329 E 17TH ST, BROOKLYN, NY 11230-6052
(718) 382-5060
Mailing address
92 TERHUNE AVE, JERSEY CITY, NJ 07305-2056
(201) 320-5603
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405227-01
NY
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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