Provider Demographics
NPI:1407157258
Name:RAMOS, DEBORAH LISA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LISA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 MOTOR PKWY FL 1
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5208
Mailing Address - Country:US
Mailing Address - Phone:631-855-1200
Mailing Address - Fax:631-630-6299
Practice Address - Street 1:1345 MOTOR PKWY FL 1
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5208
Practice Address - Country:US
Practice Address - Phone:631-855-1200
Practice Address - Fax:631-630-6299
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08007-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical