Provider Demographics
NPI:1497172019
Name:AIKO RAMOS DPT PC
Entity Type:Organization
Organization Name:AIKO RAMOS DPT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-576-1604
Mailing Address - Street 1:70 AVENUE O
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-6448
Mailing Address - Country:US
Mailing Address - Phone:347-576-1604
Mailing Address - Fax:347-576-1607
Practice Address - Street 1:70 AVENUE O
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-6448
Practice Address - Country:US
Practice Address - Phone:347-576-1604
Practice Address - Fax:347-576-1607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400069013Medicare PIN