Canonical ID: NK-ZLKrDJqTjarebmd6sskzZW · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 298 CANAL RD., PORT JEFFERSON STATION, NY 117763020 | ext_us_cms_npi | us-npi-1104916998 | ||||
LegalEntity:country | us | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | ||||
Person:country | us | ext_us_cms_npi | us-npi-1104916998 | ||||
Person:firstName | PAUL | ext_us_cms_npi | us-npi-1104916998 | ||||
LegalEntity:id | 096fabe32bc365895e97f91ebf87bd2c0fc1f868 | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | ||||
Person:id | 2ca3a8638fae809ed550ee1a623aca4ce6dd6505 | ext_us_cms_npi | us-npi-1104916998 | ||||
LegalEntity:idNumber | 00003502 | eng | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | |||
Person:lastName | RAVENER | ext_us_cms_npi | us-npi-1104916998 | ||||
Person:middleName | DAVID | ext_us_cms_npi | us-npi-1104916998 | ||||
Person:name | PAUL DAVID RAVENER | ext_us_cms_npi | us-npi-1104916998 | ||||
LegalEntity:name | RAVENER PAUL | eng | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | |||
LegalEntity:npiCode | 1104916998 | eng | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | |||
Person:npiCode | 1104916998 | ext_us_cms_npi | us-npi-1104916998 | ||||
LegalEntity:sector | Chiropractor | eng | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | |||
Person:title | MR. | ext_us_cms_npi | us-npi-1104916998 | ||||
LegalEntity:topics | debarment | us_ny_med_exclusions | us-medny-8ae4410bd8f13ec5fd0b62726e4a3c99236a6f0b | ||||