Provider Demographics
NPI:1457305534
Name:RAMSGARD, SHERIE R (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHERIE
Middle Name:R
Last Name:RAMSGARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1230
Mailing Address - Country:US
Mailing Address - Phone:315-214-0390
Mailing Address - Fax:315-214-0398
Practice Address - Street 1:1816 ERIE BLVD E
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1230
Practice Address - Country:US
Practice Address - Phone:315-214-0390
Practice Address - Fax:315-214-0398
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400870-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02551233Medicaid
NY02551233Medicaid
NYQ19896Medicare UPIN