MEDICARE: DR. SHARENA RAMOS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010844	PA
2	111N00000X	Chiropractor	012493	NY
3	111N00000X	Chiropractor	X012493-1	NY

General Provider Information

NPI Number	:	1013334374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARENA RAMOS DC

Provider Business Mailing Address
First Line	:	1644 ATLANTIC AVE FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-1123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16519 HILLSIDE AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-4134
Country	:	US
Telephone Number	:	718-279-2900
Fax Number	:	718-279-7958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	09/02/2021

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