Individual
MR. EDWARD BARRY KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
230 GEORGE ST, NEW HAVEN, CT 06510-3224
(203) 498-5980
Mailing address
466 S ELM ST, WALLINGFORD, CT 06492-4817
(860) 805-7259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000118
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROVIDER CODE 22
RESPIRATORY, REHABILITATI
CT
Enumeration date
04/10/2007
Last updated
07/08/2007
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