Provider Demographics
NPI:1891916185
Name:PANDAY, EMILIA RAMIREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:RAMIREZ
Last Name:PANDAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:87-03 57TH ROAD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4856
Mailing Address - Country:US
Mailing Address - Phone:718-803-1616
Mailing Address - Fax:718-639-8652
Practice Address - Street 1:95-57 ROOSEVELT AVE
Practice Address - Street 2:2 FL
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-8014
Practice Address - Country:US
Practice Address - Phone:718-803-1616
Practice Address - Fax:718-639-8652
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY152136208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00744385Medicaid