Provider Demographics
NPI:1578680740
Name:RAM, MYRNA (MA LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:
Last Name:RAM
Suffix:
Gender:F
Credentials:MA LCSW
Other - Prefix:
Other - First Name:MYRNA
Other - Middle Name:
Other - Last Name:ASKINAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:210 EAST 68TH STREET
Mailing Address - Street 2:#1D
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-570-0512
Mailing Address - Fax:212-288-4947
Practice Address - Street 1:210 EAST 68TH ST
Practice Address - Street 2:#1D
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-570-0512
Practice Address - Fax:212-288-4947
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR016597011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical