Provider Demographics
NPI:1184016347
Name:RAMPERSAD, RAWOUTIE
Entity Type:Individual
Prefix:
First Name:RAWOUTIE
Middle Name:
Last Name:RAMPERSAD
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 1:1745 EASTBURN AVE
Mailing Address - Street 2:D8
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-6906
Mailing Address - Country:US
Mailing Address - Phone:718-825-7399
Mailing Address - Fax:
Practice Address - Street 1:1745 EASTBURN AVE
Practice Address - Street 2:D8
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6906
Practice Address - Country:US
Practice Address - Phone:718-825-7399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320462-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse