MEDICARE: CESAR A RAMIREZ RPAC

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	363AM0700X	Medical Physician Assistant	008628	NY

General Provider Information

NPI Number	:	1669520847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR A RAMIREZ RPAC

Provider Business Mailing Address
First Line	:	570 N 2ND ST
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-2826
Country	:	US
Telephone Number	:	347-886-6002
Fax Number	:	718-334-0093

Provider Business Practice Location Address
First Line	:	9301 ROOSEVELT AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7943
Country	:	US
Telephone Number	:	718-334-0001
Fax Number	:	718-334-0093

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

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	07/08/2007

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