Basic Information
Provider Information
NPI: 1538777263
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMAISCHRAND
FirstName: DEVANAND
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: ADVANTAGECARE PHYSICIANS, PC
Address2: 55 WATER STREET 2ND FLOOR CRED DEPT
City: NEW YORK
State: NY
PostalCode: 100410004
CountryCode: US
TelephoneNumber: 6466802888
FaxNumber: 5165425556
Practice Location
Address1: 1000 CHURCH AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112182710
CountryCode: US
TelephoneNumber: 7188264000
FaxNumber: 6466802226
Other Information
ProviderEnumerationDate: 07/20/2020
LastUpdateDate: 09/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF346029NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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