MR. Paul David Ravener, D.C.
NPI #1104916998 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1104916998
- Entity Type
- Individual
- Name
- MR. Paul David Ravener, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 298 CANAL RD.
- State
- New York
- ZIP Code
- 11776-3020
- Phone
- (631) 928-0192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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