Raviv, Tal
Raviv, Tal is an sole proprietor health care provider with primary practice located at 30 E 60Th St Ste 2002 , New York NY 10022-1017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Raviv, Tal can be contacted via phone (212) 889-3550.Contact Information
Primary practice address
30 E 60Th St Ste 2002
New York NY 10022-1017
Phone: (212) 889-3550
Fax: (212) 696-1190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 204127 | New York |
Profile Details
| NPI number | 1558366682 |
|---|---|
| LBN Legal business name | Raviv, Tal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 26th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558366682 | NPPES |
| New York | MEDICAID | 02059507 |
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