Kravitz, Rena
Kravitz, Rena is an sole proprietor health care provider with primary practice located at 4303 13Th Ave , Brooklyn NY 11219-1337. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kravitz, Rena can be contacted via phone (718) 871-9111.Contact Information
Primary practice address
4303 13Th Ave
Brooklyn NY 11219-1337
Phone: (718) 871-9111
Fax: (718) 871-9097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 037837-1 | New York |
Profile Details
| NPI number | 1699761411 |
|---|---|
| LBN Legal business name | Kravitz, Rena |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Mar 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699761411 | NPPES |
| New York | MEDICAID | 01158561 |
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