Provider Demographics
NPI:1881242469
Name:RAMIREZ, VANESSA
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 W MERRICK RD APT 1B
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-3311
Mailing Address - Country:US
Mailing Address - Phone:516-425-2281
Mailing Address - Fax:
Practice Address - Street 1:250 W MERRICK RD APT 1B
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3311
Practice Address - Country:US
Practice Address - Phone:516-425-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY106876956OtherUNITED HEALTH CARE