Provider Demographics
NPI:1851993281
Name:RAMIREZ, SULAY
Entity Type:Individual
Prefix:
First Name:SULAY
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 PELHAM RD APT 1L
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2516
Mailing Address - Country:US
Mailing Address - Phone:917-690-9382
Mailing Address - Fax:
Practice Address - Street 1:230 PELHAM RD APT 1L
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2516
Practice Address - Country:US
Practice Address - Phone:917-690-9382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist