Provider Demographics
NPI:1407854680
Name:NASSIF, RAMZI F (MD)
Entity Type:Individual
Prefix:
First Name:RAMZI
Middle Name:F
Last Name:NASSIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5416
Mailing Address - Country:US
Mailing Address - Phone:315-624-8130
Mailing Address - Fax:315-624-8139
Practice Address - Street 1:268 GENESEE ST STE B1
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4617
Practice Address - Country:US
Practice Address - Phone:315-801-7142
Practice Address - Fax:315-801-7276
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209982207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01861696Medicaid
NYRB9187OtherMEDICARE ID
NY01861696Medicaid