Basic Information
Provider Information
NPI: 1871612275
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMDASS
FirstName: ROWLAND
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: ANP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 48 RUXTON ST
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110401317
CountryCode: US
TelephoneNumber: 5192944302
FaxNumber:  
Practice Location
Address1: 525 E 68TH ST
Address2: STARR 4 F-439 CARDIAC CATH LAB
City: NEW YORK
State: NY
PostalCode: 100214870
CountryCode: US
TelephoneNumber: 2127466444
FaxNumber: 2127468295
Other Information
ProviderEnumerationDate: 03/28/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XF303848NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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