Individual
MICHELLE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 36, WEST ISLIP, NY 11795-0036
(858) 818-4020
Mailing address
PO BOX 36, WEST ISLIP, NY 11795-0036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
782755
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405856
NY
Other
Enumeration date
03/11/2024
Last updated
01/16/2025
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