Healthcare Provider Details

I. General information

NPI: 1881735181
Provider Name (Legal Business Name): RAMON DELMONTE, MD, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 ACADEMY ST SUITE 10A
NEW YORK NY
10034-5058
US

IV. Provider business mailing address

610 ACADEMY ST SUITE 10A
NEW YORK NY
10034-5058
US

V. Phone/Fax

Practice location:
  • Phone: 212-942-3400
  • Fax: 212-942-6031
Mailing address:
  • Phone: 212-942-3400
  • Fax: 212-942-6031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number184126
License Number StateNY

VIII. Authorized Official

Name: MRS. SANDRA DELMONTE
Title or Position: MANAGER
Credential:
Phone: 212-942-3400