Provider Demographics
NPI:1497747471
Name:RAMEAS, SAMUEL B (DPM)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:B
Last Name:RAMEAS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 WEST GENESSE STRRET
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031
Mailing Address - Country:US
Mailing Address - Phone:315-487-1571
Mailing Address - Fax:315-487-3362
Practice Address - Street 1:5705 WEST GENESSE STRRET
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031
Practice Address - Country:US
Practice Address - Phone:315-487-1571
Practice Address - Fax:315-487-3362
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005639213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP056391OtherWORKER'S COMP
NY7638227OtherAETNA-CNY
NY000918865003OtherHEALTH NOW NY
NY545338OtherMVP HEATLH PLANS
NY040426015963OtherFIDELIS CARE NEW YORK
NY611595800OtherUS DOL OFFICE OF WORKERS COMP
NY000130082OtherBCBS CNY EXCELLUS
NY02110507Medicaid
NY1499433OtherGHI
NYBA0399Medicare PIN
NY1499433OtherGHI
NY02110507Medicaid