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Contact Information

RAVI C PULIPATI, MD
33 MEDFORD AVE
SUITE A
PATCHOGUE, NY11772-1222
 Phone: 631-569-5410
 Fax: 631-569-5413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for RAVI C PULIPATI · (Male)

NPI Number 1487810305
Status Active
Credentials MD
Entity Individual
Enumeration date 07/30/2008
Last updated 11/04/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 224728
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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