Provider Demographics
NPI:1629316286
Name:RAMDAT, JANETA DEVI (RN)
Entity Type:Individual
Prefix:
First Name:JANETA
Middle Name:DEVI
Last Name:RAMDAT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-3256
Mailing Address - Country:US
Mailing Address - Phone:917-974-1380
Mailing Address - Fax:
Practice Address - Street 1:570 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-3256
Practice Address - Country:US
Practice Address - Phone:917-974-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY661722163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse