Provider Demographics
NPI:1972585628
Name:ELHOSN, RAMSEY R (MD)
Entity Type:Individual
Prefix:MR
First Name:RAMSEY
Middle Name:R
Last Name:ELHOSN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EXECUTIVE PARK DR
Mailing Address - Street 2:2ND FLOOR, OPHTHALMOLOGY HEALTH CENTER
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3700
Mailing Address - Country:US
Mailing Address - Phone:518-487-7200
Mailing Address - Fax:518-708-6896
Practice Address - Street 1:2 EXECUTIVE PARK DRIVE
Practice Address - Street 2:2ND FLOOR, OPHTHALMOLOGY HEALTH CENTER
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203
Practice Address - Country:US
Practice Address - Phone:518-487-4200
Practice Address - Fax:518-708-6896
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251877207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508363Medicaid
I 45794Medicare UPIN
NV105137Medicare PIN