MS. ERICKA RAVENELL PHYSICIAN ASSISTANT NPI 1992150270

NPI Information

MS. Ericka Ravenell, PHYSICIAN ASSISTANT is a medical physician assistant in Bronx, NY with 4 years of experience. MS. Ericka Ravenell, PHYSICIAN ASSISTANT NPI is 1992150270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduation Year:2020

The provider's business location address is:

111 E 210TH ST
BRONX, NY
ZIP 10467-401
Phone: (718) 920-2985

The NPI 1992150270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2016 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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