Provider Demographics
NPI:1477261915
Name:IBIS MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:IBIS MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-585-4194
Mailing Address - Street 1:403 MAIN ST
Mailing Address - Street 2:#794
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-9998
Mailing Address - Country:US
Mailing Address - Phone:855-424-7555
Mailing Address - Fax:
Practice Address - Street 1:1/2 BOLLING PL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6540
Practice Address - Country:US
Practice Address - Phone:855-424-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty