Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 274882-1 | NY |
Y | 208600000X | Surgeon | 274882-1 | NY |
N | 2086S0102X | Surgical Critical Care | 274882-1 | NY |
NPI | 1275717845 |
---|---|
Provider Name | Dr. Alejandro Betancourt-Ramirez |
First Address | Bay Shore, NY 11706-8442 |
Second Address | Valhalla, NY 10595-1530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 12/07/2019 |