Basic Information
Provider Information
NPI: 1295068237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMPARIAG
FirstName: RAVINDRA
MiddleName: MISIR
NamePrefix: MR.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3484 CAREY LN
Address2:  
City: BALDWIN
State: NY
PostalCode: 115105037
CountryCode: US
TelephoneNumber: 3479339805
FaxNumber:  
Practice Location
Address1: 423 E 23RD ST
Address2: RESPIRATOY CARE ROOM 13090S
City: NEW YORK
State: NY
PostalCode: 100105011
CountryCode: US
TelephoneNumber: 2126867500
FaxNumber: 2129516882
Other Information
ProviderEnumerationDate: 09/09/2009
LastUpdateDate: 08/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2279G1100X006323NYN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
363LF0000XF346535-01NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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