Healthcare Provider Details

I. General information

NPI: 1962182089
Provider Name (Legal Business Name): JUSTIN VINOD RAMNARAIN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1983 MARCUS AVE STE 118
NEW HYDE PARK NY
11042-1016
US

IV. Provider business mailing address

221 GREENWOOD AVE
BROOKLYN NY
11218-1027
US

V. Phone/Fax

Practice location:
  • Phone: 347-591-9873
  • Fax:
Mailing address:
  • Phone: 347-591-9873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number068117
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: