Provider Demographics
NPI:1659714624
Name:RAMOS, MARIA R (MS, TSHH)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:R
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MS, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 WHITE PLAINS RD
Mailing Address - Street 2:74Z
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5518
Mailing Address - Country:US
Mailing Address - Phone:914-909-4010
Mailing Address - Fax:
Practice Address - Street 1:177 WHITE PLAINS RD
Practice Address - Street 2:74Z
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5518
Practice Address - Country:US
Practice Address - Phone:914-909-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY775519174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist