Provider Demographics
NPI:1861000267
Name:RAMSAROOP, VERONICA NATACHA (ANP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:NATACHA
Last Name:RAMSAROOP
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-1618
Mailing Address - Country:US
Mailing Address - Phone:917-319-1310
Mailing Address - Fax:
Practice Address - Street 1:20 WINDSOR ST
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-1618
Practice Address - Country:US
Practice Address - Phone:917-319-1310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309714363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health