Provider Demographics
NPI:1831960442
Name:RAMOS, CATHERINE NOELLA (RN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NOELLA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 BRUCKNER BLVD APT 11D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-1908
Mailing Address - Country:US
Mailing Address - Phone:917-583-1617
Mailing Address - Fax:
Practice Address - Street 1:455 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4911
Practice Address - Country:US
Practice Address - Phone:718-585-8013
Practice Address - Fax:718-585-8019
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4310001163WP0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics