Individual
MR. KENNETH LOUIS RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
STONY BROOK RADIOLOGY UFPC, HSC LEVEL 4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
HSC LEVEL 4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006220
NY
Other
Enumeration date
10/15/2007
Last updated
03/14/2008
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