Provider Demographics
NPI:1932107752
Name:RAMER, NAOMI (DDS)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:RAMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:A
Other - Last Name:FUSCO-RAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:PATHOLOGY,
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-731-7771
Mailing Address - Fax:212-534-7491
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:PATHOLOGY,
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-7215
Practice Address - Fax:516-569-4794
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038890207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU29398Medicare UPIN
NYD7H981Medicare ID - Type Unspecified