Individual
ANDREW BRENT RAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8040 COOPER AVE STE 4202, GLENDALE, NY 11385-7726
(718) 887-3090
(718) 326-2656
Mailing address
11 VERONICA CT, SMITHTOWN, NY 11787-1323
(631) 682-4880
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
335488
NY
Other
Enumeration date
04/02/2020
Last updated
04/08/2025
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