Individual
DR. BERNARD RAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 275-8503
(585) 276-2249
Mailing address
1351 MOUNT HOPE AVE, SUITE 116, ROCHESTER, NY 14620-3917
(585) 275-8503
(585) 276-2249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
237175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02692717
—
NY
Enumeration date
08/29/2006
Last updated
08/22/2007
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