Healthcare Provider Details

I. General information

NPI: 1750226221
Provider Name (Legal Business Name): EDWARD ANTHONY RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1908 BUSSING AVE
BRONX NY
10466-2024
US

IV. Provider business mailing address

1908 BUSSING AVE
BRONX NY
10466-2024
US

V. Phone/Fax

Practice location:
  • Phone: 917-583-0033
  • Fax:
Mailing address:
  • Phone: 917-583-0033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberN6M3L9Z9
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: