Ravener, Tyler

Ravener, Tyler is an sole proprietor health care provider with primary practice located at 4761 Sunrise Highway , Bohemia NY 11716. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ravener, Tyler can be contacted via phone (631) 567-1061.

Contact Information

Primary practice address
4761 Sunrise Highway Bohemia NY 11716
Phone: (631) 567-1061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 060967 New York

Profile Details

NPI number 1871217786
LBN Legal business name Ravener, Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 3 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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