MEDICARE: NEIL STEPHEN RAMSAHAI

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	1041C0700X	Clinical Social Worker	102811	NY

General Provider Information

NPI Number	:	1639849961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL STEPHEN RAMSAHAI

Provider Business Mailing Address
First Line	:	3811 BROADWAY FL 3
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-3190
Country	:	US
Telephone Number	:	718-726-5953
Fax Number	:	718-204-5308

Provider Business Practice Location Address
First Line	:	3811 BROADWAY FL 3
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-3190
Country	:	US
Telephone Number	:	718-726-5953
Fax Number	:	718-204-5308

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

Provider Enumeration Date	:	09/17/2021
Last Update Date	:	06/03/2026

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