Individual
JEANICE RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
Mailing address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
508414111
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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