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Individual

DR. STEVEN JAY RAVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 OLD COUNTRY RD, SUITE 151, MINEOLA, NY 11501-4198
(516) 747-5700
(516) 747-9361
Mailing address
300 OLD COUNTRY RD, SUITE 151, MINEOLA, NY 11501-4198
(516) 747-5700
(516) 747-9361

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
151336
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0485440002
SUPPLIER NUMBER
NY
Enumeration date
10/04/2005
Last updated
07/08/2007
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