Provider Demographics
NPI:1740204833
Name:RAMIS, CARMEN MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:MARIA
Last Name:RAMIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W END AVE
Mailing Address - Street 2:APT. 11-H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4804
Mailing Address - Country:US
Mailing Address - Phone:212-595-6209
Mailing Address - Fax:212-595-6209
Practice Address - Street 1:505 E 70TH ST
Practice Address - Street 2:WCIMA AT HT4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:212-746-2796
Practice Address - Fax:212-746-8214
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
AR2579209OtherDEA
NYD37958Medicare UPIN
AR2579209OtherDEA