MEDICARE: ZAUDI DEL MAR RAMIREZ LMSW

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	104100000X	Social Worker	102868-1	NY

General Provider Information

NPI Number	:	1306327580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAUDI DEL MAR RAMIREZ LMSW

Provider Business Mailing Address
First Line	:	5864 QUARTER MOON DR
Second Line	:
City	:	JAMESVILLE
State	:	NY
Zip	:	13078-6470
Country	:	US
Telephone Number	:	501-908-6008
Fax Number	:

Provider Business Practice Location Address
First Line	:	723 JAMES ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13203-2001
Country	:	US
Telephone Number	:	315-425-0818
Fax Number	:

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

Provider Enumeration Date	:	08/24/2018
Last Update Date	:	08/24/2018

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