Provider Demographics
NPI:1528064961
Name:RATNER, SANFORD MILES (MD)
Entity type:Individual
Prefix:
First Name:SANFORD
Middle Name:MILES
Last Name:RATNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5505
Mailing Address - Country:US
Mailing Address - Phone:516-504-0800
Mailing Address - Fax:516-504-0824
Practice Address - Street 1:295 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5505
Practice Address - Country:US
Practice Address - Phone:516-504-0800
Practice Address - Fax:516-504-0824
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179902207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01478317Medicaid
NYF83421Medicare UPIN
NYW34131Medicare ID - Type Unspecified