Individual
MR. DIEGO HERNAN RATZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
271 DOUGHTY BLVD, INWOOD, NY 11096-2135
(516) 371-6884
(516) 371-6083
Mailing address
212 31ST ST, BROOKLYN, NY 11232-1803
(646) 331-5911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013174
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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