Provider Demographics
NPI:1003543448
Name:KUMARI, RAMEETA
Entity Type:Individual
Prefix:
First Name:RAMEETA
Middle Name:
Last Name:KUMARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 MORRIS PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3714
Mailing Address - Country:US
Mailing Address - Phone:718-823-7676
Mailing Address - Fax:718-823-7688
Practice Address - Street 1:86-07 115TH ST, QUEENS
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1141
Practice Address - Country:US
Practice Address - Phone:929-789-2943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045264225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist