Provider Demographics
NPI:1952983090
Name:RAMSAYWACK, LATCHMIE RAMONA (APN)
Entity type:Individual
Prefix:
First Name:LATCHMIE
Middle Name:RAMONA
Last Name:RAMSAYWACK
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3305
Mailing Address - Country:US
Mailing Address - Phone:332-456-9738
Mailing Address - Fax:
Practice Address - Street 1:112 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3305
Practice Address - Country:US
Practice Address - Phone:332-456-9738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2021027478207Q00000X
NYF348772-01207QA0505X, 363LA2200X, 207R00000X
NJ26NJ01157600207R00000X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ01157600OtherLICENSE
NYF348772-01OtherLICENSE