Individual
RAVI BHAVESH RAITHATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
86 STANTON ST APT 4, NEW YORK, NY 10002-1441
(201) 674-3336
Mailing address
86 STANTON ST APT 4, NEW YORK, NY 10002-1441
(201) 674-3336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00736800
NJ
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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