MEDICARE: REBECCA RAMDASS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	035802-01	NY

General Provider Information

NPI Number	:	1043141575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA RAMDASS PA-C

Provider Business Mailing Address
First Line	:	145 DUPONT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-1277
Country	:	US
Telephone Number	:	347-440-2645
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 GRAHAM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-4904
Country	:	US
Telephone Number	:	917-310-3371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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