Healthcare Provider Details

I. General information

NPI: 1114311792
Provider Name (Legal Business Name): NICOLE RAMSEY M.D./PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL
NEW YORK NY
10029-6504
US

IV. Provider business mailing address

1425 MADISON AVE FL 6
NEW YORK NY
10029-6514
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-5548
  • Fax: 212-426-1902
Mailing address:
  • Phone: 212-241-5548
  • Fax: 212-426-1902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number292958
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number292958
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number292958
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: