Individual
DAVID RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
27 BRUCE LANE, BRENTWOOD, NY 11717
(757) 589-6717
Mailing address
27 BRUCE LANE, BRENTWOOD, NY 11717
(757) 589-6717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304271
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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