Downtown Neurology And Pain Medicine, Pllc | |
363 7th Ave Fl 18 New York NY 10001 | |
(917) 983-1943 | |
Not Available |
Full Name | Downtown Neurology And Pain Medicine, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 363 7th Ave Fl 18, New York, New York |
Authorized Official Name and Position | Risa M Ravitz (MD) |
Authorized Official Contact | 9179831943 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Downtown Neurology And Pain Medicine, Pllc 363 7th Ave Fl 18 New York NY 10001-3904 Ph: (917) 798-3194 | Downtown Neurology And Pain Medicine, Pllc 363 7th Ave Fl 18 New York NY 10001 Ph: (917) 983-1943 |
NPI Number | 1225527112 |
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Provider Enumeration Date | 05/07/2018 |
Last Update Date | 07/12/2024 |
Certification Date | 07/12/2024 |
Medicare PECOS PAC ID | 6507112828 |
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Medicare Enrollment ID | O20180628002634 |
Identifier | Type | State | Issuer |
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1225527112 | NPI | - | NPPES |
256815 | Other | NY | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (New York) | Primary |
Provider Name | Risa M Ravitz |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1437205051 PECOS PAC ID: 5092873018 Enrollment ID: I20110721000310 |
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