MEDICARE: JEAN EUGENE RAMEAU M.D

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	208000000X	Pediatrics Physician	192901	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104845254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN EUGENE RAMEAU M.D

Provider Business Mailing Address
First Line	:	PO BOX 26246
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11202-6246
Country	:	US
Telephone Number	:	718-604-5574
Fax Number	:	718-604-5527

Provider Business Practice Location Address
First Line	:	535 EMPIRE BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3121
Country	:	US
Telephone Number	:	718-363-1540
Fax Number	:	718-363-0495

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	12/19/2008

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