Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 212292-1 | NY |
Y | 207R00000X | Internist | 212292-1 | NY |
Y | 111NI0900X | Internist | 212292-1 | NY |
NPI | 1033147426 |
---|---|
Provider Name | Dr. Ramon R Pimentel |
First Address | New York, NY 10087-9046 |
Second Address | Jackson Heights, NY 11372-6444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 11/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01900054 | (05) | NY |
G84351 | (02) |