Provider Demographics
NPI:1033574181
Name:RAMIREZ, DENNISE
Entity Type:Individual
Prefix:MS
First Name:DENNISE
Middle Name:
Last Name:RAMIREZ
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 1:967 KELLY ST
Mailing Address - Street 2:11C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-3219
Mailing Address - Country:US
Mailing Address - Phone:646-358-2628
Mailing Address - Fax:
Practice Address - Street 1:967 KELLY ST
Practice Address - Street 2:11C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3219
Practice Address - Country:US
Practice Address - Phone:646-358-2628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist