Basic Information
Provider Information
NPI: 1619353547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMDHANNY
FirstName: CHRISTOPHER
MiddleName:  
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Mailing Information
Address1: 6010 BAY PKWY STE 901
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112046081
CountryCode: US
TelephoneNumber: 7182382100
FaxNumber: 7187480863
Practice Location
Address1: 3636 33RD ST STE 306
Address2:  
City: LONG ISLAND CITY
State: NY
PostalCode: 111062329
CountryCode: US
TelephoneNumber: 8444034325
FaxNumber: 4246250010
Other Information
ProviderEnumerationDate: 08/03/2015
LastUpdateDate: 05/23/2022
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: M
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 05/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X551525-1NYN Nursing Service ProvidersRegistered Nurse 
363LA2200X308348NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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