Provider Demographics
NPI:1700317161
Name:RAMANI, PRAKASH (DC)
Entity Type:Individual
Prefix:DR
First Name:PRAKASH
Middle Name:
Last Name:RAMANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 PATERSON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1658
Mailing Address - Country:US
Mailing Address - Phone:201-661-1417
Mailing Address - Fax:973-475-8130
Practice Address - Street 1:275 PATERSON AVE STE 202
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1658
Practice Address - Country:US
Practice Address - Phone:201-661-1417
Practice Address - Fax:973-475-8130
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012919111N00000X
NJ38MC00744200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor