Provider Demographics
NPI:1710358239
Name:SUKHERMAN, RAMILIA (FNP)
Entity Type:Individual
Prefix:
First Name:RAMILIA
Middle Name:
Last Name:SUKHERMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BRIGHTON 1ST ROAD
Mailing Address - Street 2:APT 9 G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:347-400-9333
Mailing Address - Fax:
Practice Address - Street 1:40 BRIGHTON 1ST RD
Practice Address - Street 2:APT 9 G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8148
Practice Address - Country:US
Practice Address - Phone:347-400-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2019-10-16
Deactivation Date:2016-07-11
Deactivation Code:
Reactivation Date:2019-10-10
Provider Licenses
StateLicense IDTaxonomies
NY702935-1163W00000X
NYF344011-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse