Individual
BHANMATIE RAMESHWAR-FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
(516) 823-1550
Mailing address
538 MONTAUK AVE, BROOKLYN, NY 11208-5208
(347) 744-7286
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314857-1
NY
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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