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NPI Code Detail

MEDICARE: MS. MICHELLE BARRANCO RAMIREZ

MEDICARE: MS. MICHELLE BARRANCO 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
1171M00000XCase Manager/Care Coordinator199646126NY
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1871212993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE BARRANCO RAMIREZ
Provider Business Mailing Address
First Line : 950 SOUTH OYSTER BAY ROAD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number : 516-396-0552
Provider Business Practice Location Address
First Line : 950 SOUTH OYSTER BAY ROAD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number : 516-396-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 04/26/2026

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