Healthcare Provider Details

I. General information

NPI: 1063507804
Provider Name (Legal Business Name): SHARON RAMJATTAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267A W 231ST ST
BRONX NY
10463-3903
US

IV. Provider business mailing address

1 THEALL RD
RYE NY
10580-1404
US

V. Phone/Fax

Practice location:
  • Phone: 718-432-8282
  • Fax: 718-432-8271
Mailing address:
  • Phone: 914-848-8000
  • Fax: 914-848-8751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number010308-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: