MEDICARE: DR. KELLY S RAMSEY MD

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	207R00000X	Internal Medicine Physician	233631	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	:	1588745905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY S RAMSEY MD

Provider Business Mailing Address
First Line	:	886 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-4010
Country	:	US
Telephone Number	:	718-585-5544
Fax Number	:	718-585-8314

Provider Business Practice Location Address
First Line	:	886 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-4010
Country	:	US
Telephone Number	:	718-585-5544
Fax Number	:	718-585-8314

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	12/17/2025

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