Provider Demographics
NPI:1720339898
Name:RAMOS-GALARZA, LURDES (MA)
Entity Type:Individual
Prefix:MRS
First Name:LURDES
Middle Name:
Last Name:RAMOS-GALARZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:LURDES
Other - Middle Name:ESTER
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:340 VETERANS MEMORIAL HIGHWAY, SUITE 7
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-355-8975
Mailing Address - Fax:631-650-5895
Practice Address - Street 1:340 VETERANS MEMORIAL HIGHWAY, SUITE 7
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-355-8975
Practice Address - Fax:631-650-5895
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25047101YA0400X
NY005207101YM0800X
NY005207-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)