Individual
IVONNE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 342-5155
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
260647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260647
NYS MED LICENSE
NY
Enumeration date
07/25/2007
Last updated
07/27/2015
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