Provider Demographics
NPI:1629342597
Name:RAMPERSAD, SHEREEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:SHEREEN
Middle Name:
Last Name:RAMPERSAD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1210
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-0536
Mailing Address - Country:US
Mailing Address - Phone:631-432-2241
Mailing Address - Fax:888-485-7175
Practice Address - Street 1:340 HOWELLS RD
Practice Address - Street 2:SUITE B
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-5322
Practice Address - Country:US
Practice Address - Phone:631-432-2241
Practice Address - Fax:888-485-7175
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist