Most Relevant Information
Provider Data
| NPI Number: | 1003020728 |
| Provider Name: | DAN RAVIV PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 000276 |
Most Important Dates
| Enumeration Date: | 05/10/2007 |
| Last Updated: | 06/11/2010 |
Provider Practice Location
133 W 25TH ST
#3
NEW YORK
NY
100017206
Practice Location Phone/Fax
| Phone: | 5166953925 |
| Fax: |
Provider Mailing Location
1051 FENWOOD DR
#3
VALLEY STREAM
NY
115802412
Provider Mailing Phone/Fax
| Phone: | 5168126672 |
| Fax: |