Provider Demographics
NPI:1841588977
Name:RATNER, ROSS MATHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:MATHEW
Last Name:RATNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W 36TH ST RM 205
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7684
Mailing Address - Country:US
Mailing Address - Phone:212-500-2163
Mailing Address - Fax:
Practice Address - Street 1:53 W 36TH ST RM 205
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7684
Practice Address - Country:US
Practice Address - Phone:212-500-2163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277819208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery