Healthcare Provider Details

I. General information

NPI: 1922530385
Provider Name (Legal Business Name): HARRY PERSAUD RAMCHARRAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MARYS AVE STE 102
KINGSTON NY
12401-5849
US

IV. Provider business mailing address

117 MARYS AVE STE 102
KINGSTON NY
12401-5849
US

V. Phone/Fax

Practice location:
  • Phone: 845-383-1759
  • Fax:
Mailing address:
  • Phone: 845-383-1759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number341080-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: