MEDICARE: DR. RACHELLE HALAGAO RAMOS M.D.

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	2084P0800X	Psychiatry Physician	220979	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P2424746	OTHER	NY	OXFORD

General Provider Information

NPI Number	:	1053434118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHELLE HALAGAO RAMOS M.D.

Provider Business Mailing Address
First Line	:	28 NORTH CT
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2111
Country	:	US
Telephone Number	:	516-626-9212
Fax Number	:

Provider Business Practice Location Address
First Line	:	381 PARK AVE S
Second Line	:	SUITE 1019
City	:	NEW YORK
State	:	NY
Zip	:	10016-8806
Country	:	US
Telephone Number	:	212-683-4560
Fax Number	:	212-683-4563

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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