Organization
DR. RAVI MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALA RAVI MD (OWNER)
(718) 497-6070
Entity
Organization
Contact information
Practice address
6852 FRESH POND RD, RIDGEWOOD, NY 11385-5230
(718) 497-6070
(718) 497-3126
Mailing address
6852 FRESH POND RD, RIDGEWOOD, NY 11385-5230
(718) 497-6070
(718) 497-3126
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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