# PRETAM G RAMPERSAUD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336511351
- **Authorized official:** MR. PRETMAN G RAMPERSAUD MD (OWNER)
- **Authorized official phone:** (718) 979-9790

## Contact information

- **Practice address:** 457 ALTER AVE, STATEN ISLAND, NY 10305-2310
- **Practice address phone:** (718) 979-9790
- **Practice address fax:** (718) 979-9798
- **Mailing address:** 774 DUMONT PL, VALLEY STREAM, NY 11581-3122
- **Mailing address phone:** (718) 979-9790
- **Mailing address fax:** (718) 979-9798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 210256 | NY | Yes |

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 01/13/2016
