Provider Demographics
NPI:1326297045
Name:RAMIREZ, EUNICE (BIL TSHH)
Entity Type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:BIL TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 SHORE FRONT PKWY
Mailing Address - Street 2:2A
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1258
Mailing Address - Country:US
Mailing Address - Phone:646-240-8200
Mailing Address - Fax:
Practice Address - Street 1:7600 SHORE FRONT PKWY
Practice Address - Street 2:2A
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1258
Practice Address - Country:US
Practice Address - Phone:646-240-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist