Provider Demographics
NPI:1679626485
Name:LYNN H. RATNER, M.D. PLLC
Entity Type:Organization
Organization Name:LYNN H. RATNER, M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:H
Authorized Official - Last Name:RATNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-396-0400
Mailing Address - Street 1:112 E 83RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0880
Mailing Address - Country:US
Mailing Address - Phone:212-396-0400
Mailing Address - Fax:212-396-9800
Practice Address - Street 1:112 E 83RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0880
Practice Address - Country:US
Practice Address - Phone:212-396-0400
Practice Address - Fax:212-396-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094845-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC12182Medicare UPIN
NY810891Medicare ID - Type Unspecified