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NPI Code Detail

MEDICARE: BHANMATIE RAMESHWAR-FREDERICK

MEDICARE: BHANMATIE RAMESHWAR-FREDERICK
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
1164W00000XLicensed Practical Nurse314857-1NY

General Provider Information

NPI Number : 1083061196
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHANMATIE RAMESHWAR-FREDERICK
Provider Business Mailing Address
First Line : 538 MONTAUK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-5208
Country : US
Telephone Number : 347-744-7286
Fax Number :
Provider Business Practice Location Address
First Line : 13 CLEVELAND ST
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-6003
Country : US
Telephone Number : 516-823-0739
Fax Number : 516-823-1550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2016
Last Update Date : 05/18/2016

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Directions to “ BHANMATIE RAMESHWAR-FREDERICK ” Practice Location

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