Individual
RENA KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4303 13TH AVE, BROOKLYN, NY 11219-1337
(718) 871-9111
(718) 871-9097
Mailing address
1429 E 16TH ST, BROOKLYN, NY 11230-6607
(718) 376-3676
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
037837-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01158561
—
NY
Enumeration date
09/27/2005
Last updated
03/30/2015
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