Provider Demographics
NPI:1801992342
Name:RAMNANI, MIGNYETTA C (LCSWR)
Entity type:Individual
Prefix:MS
First Name:MIGNYETTA
Middle Name:C
Last Name:RAMNANI
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:MIGNYETTA
Other - Middle Name:C
Other - Last Name:WOODLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:555 BLOOMING GROVE TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7843
Mailing Address - Country:US
Mailing Address - Phone:845-489-1908
Mailing Address - Fax:845-784-4626
Practice Address - Street 1:555 BLOOMING GROVE TURNPIKE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7843
Practice Address - Country:US
Practice Address - Phone:845-489-1908
Practice Address - Fax:845-784-4626
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR06772611041C0700X
NYR067726-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN55541Medicare UPIN