Provider Demographics
NPI:1215299052
Name:RATNER, MARTHA LUCIA (MS SP ED)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:LUCIA
Last Name:RATNER
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BRIARCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2001
Mailing Address - Country:US
Mailing Address - Phone:516-867-8005
Mailing Address - Fax:
Practice Address - Street 1:41 BRIARCLIFF DR
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2001
Practice Address - Country:US
Practice Address - Phone:516-867-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist