Provider Demographics
NPI:1508606906
Name:SAMANTHA J RATNER DPM PLLC
Entity type:Organization
Organization Name:SAMANTHA J RATNER DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-641-6214
Mailing Address - Street 1:PO BOX 1610
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-0901
Mailing Address - Country:US
Mailing Address - Phone:516-641-6214
Mailing Address - Fax:516-747-4783
Practice Address - Street 1:1 SHORE AVE
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-6000
Practice Address - Country:US
Practice Address - Phone:516-747-3119
Practice Address - Fax:516-747-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty