MR. PAUL RAVENER, D.C.
Chiropractor
Active
Individual
NPI: 1104916998
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chiropractor | 111N00000X | Yes | 3502 (NY) |
Frequently Asked Questions
NPI 1104916998 is the National Provider Identifier for MR. PAUL RAVENER, D.C., a Chiropractor provider located in Port Jefferson Station, NY. This NPI was enumerated on October 13, 2006.
MR. PAUL RAVENER, D.C. practices at 298 CANAL RD., Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1104916998
- Type
- Individual
- Enumerated
- Oct 13, 2006
- Last Updated
- Oct 6, 2015
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