Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 527769/ F334841 | NY |
NPI | 1013000439 |
---|---|
Provider Name | Ramona Seeta Ramdeo |
First Address | Westbury, NY 11590-1740 |
Second Address | New Hyde Park, NY 11042-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 08/07/2007 |