Healthcare Provider Details

I. General information

NPI: 1245942358
Provider Name (Legal Business Name): ALYSSA ANG RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14242 41ST AVE
FLUSHING NY
11355-2474
US

IV. Provider business mailing address

14242 41ST AVE
FLUSHING NY
11355-2474
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-1400
  • Fax: 718-888-1400
Mailing address:
  • Phone: 718-888-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number049884-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: