Healthcare Provider Details

I. General information

NPI: 1538608203
Provider Name (Legal Business Name): SIRAS RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 HEMPSTEAD TPKE STE 112
LEVITTOWN NY
11756-1396
US

IV. Provider business mailing address

91 MCCALL AVE
WEST ISLIP NY
11795-4301
US

V. Phone/Fax

Practice location:
  • Phone: 646-510-6263
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005905
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: