Individual
BROOKE A RAVEENDRANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6 EXECUTIVE PARK DR, ALBANY, NY 12203-3791
(518) 641-6319
(518) 641-6850
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000420465001
BSNENY
NY
05
—
02848268
—
NY
01
—
091210000047
FIDELIS
NY
01
—
143259
GHI-HMO
NY
01
—
3010992
MVP HEALTHCARE
NY
Enumeration date
01/22/2007
Last updated
06/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us