Healthcare Provider Details

I. General information

NPI: 1265354567
Provider Name (Legal Business Name): PATRICIA ANN RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E SUNRISE HWY STE 500
VALLEY STREAM NY
11581-1233
US

IV. Provider business mailing address

3155 35TH ST APT 3F
ASTORIA NY
11106-1511
US

V. Phone/Fax

Practice location:
  • Phone: 631-495-7321
  • Fax:
Mailing address:
  • Phone: 347-820-1136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP144807
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: