Dranitzke, Richard J

Dranitzke, Richard J is an individual health care provider with primary practice located at 635 Belle Terre Road , Port Jefferson NY 17777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Dranitzke, Richard J can be contacted via phone (631) 473-5814.

Contact Information

Primary practice address
635 Belle Terre Road Port Jefferson NY 17777
Phone: (631) 473-5814
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 099574 New York

Profile Details

NPI number 1326085549
LBN Legal business name Dranitzke, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326085549 NPPES
New York MEDICAID 00335731

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