Healthcare Provider Details

I. General information

NPI: 1093454142
Provider Name (Legal Business Name): BRITTANY MAYA RAMESH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 149TH ST
BRONX NY
10451-5504
US

IV. Provider business mailing address

240 E 86TH ST APT 22F
NEW YORK NY
10028-3074
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-5692
  • Fax:
Mailing address:
  • Phone: 713-882-6094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI02992500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: