Provider Demographics
NPI:1801227905
Name:RAMON ABREU
Entity Type:Organization
Organization Name:RAMON ABREU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:SI
Authorized Official - Phone:718-360-7433
Mailing Address - Street 1:1200 SUTTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-3863
Mailing Address - Country:US
Mailing Address - Phone:718-360-7433
Mailing Address - Fax:
Practice Address - Street 1:1200 SUTTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-3863
Practice Address - Country:US
Practice Address - Phone:718-360-7433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-28
Last Update Date:2013-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668468961252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherPROVIDER