Individual
DR. THYYAR RAVINDRANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, NEW YORK, NY 10032-1559
(212) 304-7250
(212) 544-1974
Mailing address
2 RYAN CT, NANUET, NY 10954-3825
(212) 304-7250
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
229508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02611250
—
NY
Enumeration date
02/06/2006
Last updated
07/08/2007
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