Provider Demographics
NPI:1801876628
Name:RAMM, STEVEN E (PA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:RAMM
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 36363
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07188-6306
Mailing Address - Country:US
Mailing Address - Phone:845-651-1400
Mailing Address - Fax:845-651-1510
Practice Address - Street 1:905 LITTLE BRITAIN RD
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-5522
Practice Address - Country:US
Practice Address - Phone:845-564-7066
Practice Address - Fax:845-549-1044
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9102997363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03656484Medicaid
FLU3672Medicare ID - Type Unspecified