Healthcare Provider Details

I. General information

NPI: 1518582972
Provider Name (Legal Business Name): RAMRATTIE RAMBARRAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 E MAIN ST
EAST ISLIP NY
11730-2835
US

IV. Provider business mailing address

485 S 14TH ST
LINDENHURST NY
11757-4437
US

V. Phone/Fax

Practice location:
  • Phone: 646-522-8490
  • Fax:
Mailing address:
  • Phone: 646-522-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number346413
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number585060
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: