Individual
JITKA LUDMILA ZOBAL-RATNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 ALBANY SHAKER RD, SUITE 101, LATHAM, NY 12110
(518) 533-6502
(518) 533-6505
Mailing address
523 COVINGTON PL, SLINGERLANDS, NY 12159-9517
(518) 533-6502
(518) 533-6505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
186248
NY
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
186248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405984004
BLUE SHIELD
NY
05
—
01410604
—
NY
01
—
0499003
GHI
NY
01
—
10006174
CDPHP
NY
05
—
1008194
—
VT
01
—
114422
WELLCARE
NY
01
—
346078
MVP
NY
01
—
409B51
BLUE CROSS
NY
Enumeration date
04/18/2006
Last updated
03/30/2023
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