Individual provider · Type 1 NPI

Paul David Ravener, DC

Chiropractor · Port Jefferson Station, NY

NPI number 1104916998 Active

Practice location

298 Canal Rd.
Port Jefferson Station, NY 11776-3020

Call (631) 928-0192 Map

Fax (631) 928-0253

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3502 (NY)

Chiropractor: 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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About NPI 1104916998

Paul David Ravener, DC's National Provider Identifier is 1104916998, issued on Oct 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 6, 2015.