Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2272061 | NY |
N | 207Q00000X | Family Doctor | 2272061 | NY |
NPI | 1518062330 |
---|---|
Provider Name | Jill R Ratner |
First Address | Spring Valley, NY 10977-2533 |
Second Address | Spring Valley, NY 10977-2533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 09/08/2011 |