Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | SP020455 | PA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 432009 | NY |
NPI | 1013579465 |
---|---|
Provider Name | Kristin A Ramella |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 13202-2240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2019 |
Last Update Date | 03/09/2021 |