Provider Demographics
NPI:1942396353
Name:RAMA, LEOVINA LABOT (MD)
Entity Type:Individual
Prefix:DR
First Name:LEOVINA
Middle Name:LABOT
Last Name:RAMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1916
Mailing Address - Country:US
Mailing Address - Phone:201-566-2698
Mailing Address - Fax:201-568-0896
Practice Address - Street 1:161 MADISON AVENUE
Practice Address - Street 2:SUITE 9NW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-683-1952
Practice Address - Fax:212-683-1953
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106169207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC11084Medicare UPIN
NY537751Medicare ID - Type Unspecified