Basic Information
| Provider Information | |||||||||
| NPI: | 1104965227 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMIREZ | ||||||||
| FirstName: | NIURKA | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 714 87TH ST | ||||||||
| Address2: | REAR | ||||||||
| City: | NORTH BERGEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070475107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2018610365 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6355 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104712701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187964424 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 068130 | NY | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.