Provider Demographics
NPI:1508521758
Name:RAMBEER, MEENAWATTIE
Entity Type:Individual
Prefix:MRS
First Name:MEENAWATTIE
Middle Name:
Last Name:RAMBEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 86TH ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2152
Mailing Address - Country:US
Mailing Address - Phone:917-392-5398
Mailing Address - Fax:
Practice Address - Street 1:9740 86TH ST
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-2152
Practice Address - Country:US
Practice Address - Phone:917-392-5398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01124102251E00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY765015946OtherDRIVER LICENSE