MEDICARE: GEORGE RAMOS

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	101YM0800X	Mental Health Counselor	18 P84689	NY

General Provider Information

NPI Number	:	1265843007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE RAMOS

Provider Business Mailing Address
First Line	:	272 E 7TH ST
Second Line	:	6A
City	:	NEW YORK
State	:	NY
Zip	:	10009-6064
Country	:	US
Telephone Number	:	646-234-2950
Fax Number	:

Provider Business Practice Location Address
First Line	:	272 E 7TH ST
Second Line	:	6A
City	:	NEW YORK
State	:	NY
Zip	:	10009-6064
Country	:	US
Telephone Number	:	646-234-2950
Fax Number	:

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

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	05/14/2014

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Directions to “ GEORGE RAMOS ” Practice Location

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