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Mr. Paul David Ravener, DC
Chiropractor in Port Jefferson Station, New York
NPI 1104916998

Paul David Ravener is a Chiropractor based in Port Jefferson Station, NY. Paul David Ravener practices in Port Jefferson Station, NY and has the professional credentials of DC. The NPI Number for Paul David Ravener is 1104916998 and holds a License No. 3502 (New York).

The current practice location address for Paul David Ravener is 298 Canal Rd., Port Jefferson Station, NY and can be reached out via phone at 631-928-0192 and via fax at 631-928-0253. You can also correspond with Paul David Ravener through the mailing address at 298 CANAL RD., PORT JEFFERSON STATION, NY - 11776-3020 (mailing address contact number: 631-928-0192).

Location: 298 Canal Rd., Port Jefferson Station, NY, 11776-3020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104916998
Provider Name
Paul David Ravener
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
298 Canal Rd., Port Jefferson Station, NY, 11776-3020
Phone Number
631-928-0192
Fax Number
631-928-0253
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
298 Canal Rd.
City
Port Jefferson Station
State
New York
Zip
11776-3020
Phone Number
631-928-0192
Fax Number
631-928-0253
person
Provider Business Mailing Address Details
Address
298 Canal Rd.
City
Port Jefferson Station
State
New York
Zip
11776-3020
Phone Number
631-928-0192
Fax Number
631-928-0253
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3502 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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