Basic Information
Provider Information
NPI: 1427610708
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMPERSAUD
FirstName: TESHMANIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
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Mailing Information
Address1: 150 E 42ND ST FL 9
Address2:  
City: NEW YORK
State: NY
PostalCode: 100175699
CountryCode: US
TelephoneNumber: 6466058186
FaxNumber:  
Practice Location
Address1: 10 E 102ND ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 10029
CountryCode: US
TelephoneNumber: 2122416756
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/08/2019
LastUpdateDate: 09/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X309195NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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