Individual
GIOVANNI GRETO RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
157 E WOODSIDE AVE, EAST PATCHOGUE, NY 11772-1421
(631) 475-1900
(631) 475-1955
Mailing address
157 E WOODSIDE AVE, EAST PATCHOGUE, NY 11772-1421
(631) 475-1900
(570) 475-1955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
331175
NY
207R00000X
Internal Medicine Physician
MD419448
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019212380003
MEDICAL ASSISTANCE
PA
01
—
002718
HMO
—
01
—
1437433
BLUE SHIELD, BC/BS
—
01
—
2121722000
BC/BS
—
01
—
7092409
AETNA
—
01
—
77750 E465
GEISINGER GOLD
—
01
—
P00239580
RAILROAD MEDICARE
—
Enumeration date
04/03/2006
Last updated
02/09/2025
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