Individual
KEVIN RAMDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 312-6354
Mailing address
40 CARSTON ST, SELDEN, NY 11784-4024
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311538
NY
Other
Enumeration date
11/01/2023
Last updated
11/02/2023
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