MEDICARE: RAMONA VANEL

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	275725-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	390200000X	OTHER	NY	IN TRAINING

General Provider Information

NPI Number	:	1669710497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMONA VANEL

Provider Business Mailing Address
First Line	:	11580 SPRINGFIELD BLVD
Second Line	:
City	:	CAMBRIA HEIGHTS
State	:	NY
Zip	:	11411-1134
Country	:	US
Telephone Number	:	718-527-2745
Fax Number	:

Provider Business Practice Location Address
First Line	:	11580 SPRINGFIELD BLVD
Second Line	:
City	:	CAMBRIA HEIGHTS
State	:	NY
Zip	:	11411-1134
Country	:	US
Telephone Number	:	718-527-2745
Fax Number	:

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

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	02/04/2020

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Directions to “ RAMONA VANEL ” Practice Location

Language	Start Address	Practice Location

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