Individual
DREW K GOLDBAUM-RATKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-P, PMHNP
Contact information
Practice address
201 5TH AVE, APT 2, BROOKLYN, NY 11217-4481
(718) 795-3727
Mailing address
461 DEAN ST APT 16M, BROOKLYN, NY 11217-4148
(718) 795-3727
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
711470
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403681
NY
Other
Enumeration date
03/18/2016
Last updated
09/01/2021
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