Provider Demographics
NPI:1861813842
Name:RAMON MANON-ESPAILLAT MD PC
Entity Type:Organization
Organization Name:RAMON MANON-ESPAILLAT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-620-3600
Mailing Address - Street 1:137 MONTAGUE ST
Mailing Address - Street 2:STE. 182
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3548
Mailing Address - Country:US
Mailing Address - Phone:561-620-3600
Mailing Address - Fax:
Practice Address - Street 1:137 MONTAGUE ST
Practice Address - Street 2:STE. 182
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3548
Practice Address - Country:US
Practice Address - Phone:561-620-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264081174400000X
246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty