Provider Demographics
NPI:1477708527
Name:MAXEMOUS, RAMEZ (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:RAMEZ
Middle Name:
Last Name:MAXEMOUS
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6545
Mailing Address - Country:US
Mailing Address - Phone:212-534-2000
Mailing Address - Fax:917-492-9608
Practice Address - Street 1:1637 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6545
Practice Address - Country:US
Practice Address - Phone:212-534-2000
Practice Address - Fax:917-492-9608
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052456183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist