Provider Demographics
NPI:1053862623
Name:HARIDAS, RAMNARINE (RDMS)
Entity Type:Individual
Prefix:
First Name:RAMNARINE
Middle Name:
Last Name:HARIDAS
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3308
Mailing Address - Country:US
Mailing Address - Phone:516-965-0585
Mailing Address - Fax:
Practice Address - Street 1:308 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3308
Practice Address - Country:US
Practice Address - Phone:516-965-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY950402471V0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional Technology