Provider Demographics
NPI:1821856683
Name:JAMAL RAMART, WAHID AMIN
Entity Type:Individual
Prefix:
First Name:WAHID AMIN
Middle Name:
Last Name:JAMAL RAMART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 ARTHUR AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-4751
Mailing Address - Country:US
Mailing Address - Phone:617-637-0762
Mailing Address - Fax:617-637-0762
Practice Address - Street 1:45 MAIN ST APT C1203
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2959
Practice Address - Country:US
Practice Address - Phone:617-637-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY673595163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy