MEDICARE: JANET RAMAN NP-C

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	363LA2200X	Adult Health Nurse Practitioner	F3004008-1	NY

General Provider Information

NPI Number	:	1710958749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET RAMAN NP-C

Provider Business Mailing Address
First Line	:	25412 73RD RD
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1156
Country	:	US
Telephone Number	:	718-343-5470
Fax Number	:	718-831-9234

Provider Business Practice Location Address
First Line	:	25412 73RD RD
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1156
Country	:	US
Telephone Number	:	718-343-5470
Fax Number	:	718-831-9234

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

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	07/08/2007

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