Healthcare Provider Details

I. General information

NPI: 1568165041
Provider Name (Legal Business Name): LAUREN ASHLEY RAMESAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11706 225TH ST
CAMBRIA HEIGHTS NY
11411-1706
US

IV. Provider business mailing address

11706 225TH ST
CAMBRIA HEIGHTS NY
11411-1706
US

V. Phone/Fax

Practice location:
  • Phone: 718-712-8511
  • Fax:
Mailing address:
  • Phone: 718-712-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number341901-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: