MEDICARE: ALLAN RAMIREZ

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	104210	NY
2	1041C0700X	Clinical Social Worker	092546	NY

General Provider Information

NPI Number	:	1457838575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN RAMIREZ

Provider Business Mailing Address
First Line	:	145 W 15TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-6701
Country	:	US
Telephone Number	:
Fax Number	:	646-477-4094

Provider Business Practice Location Address
First Line	:	1420 STEBBINS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-4589
Country	:	US
Telephone Number	:	718-299-3045
Fax Number	:	718-731-8442

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

Provider Enumeration Date	:	07/21/2018
Last Update Date	:	03/13/2026

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Directions to “ ALLAN RAMIREZ ” Practice Location

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