Healthcare Provider Details

I. General information

NPI: 1043573660
Provider Name (Legal Business Name): MARIA FERNANDA RAMIREZ TOVAR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 READE PL PEDIATRIC DEPARTMENT
POUGHKEEPSIE NY
12601-3947
US

IV. Provider business mailing address

45 READE PL PEDIATRIC DEPARTMENT
POUGHKEEPSIE NY
12601-3947
US

V. Phone/Fax

Practice location:
  • Phone: 475-204-6247
  • Fax:
Mailing address:
  • Phone: 475-204-6247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number282468
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: