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Individual

DR. GELITO MATIAS RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 WARWICK RD, ISLAND PARK, NY 11558-1433
(516) 432-3266
(516) 432-7992
Mailing address
100 WARWICK RD, ISLAND PARK, NY 11558-1433
(516) 432-3266
(516) 432-7992

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
134501
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00377239
NY
01
0067716
GHI NUMBER
NY
01
113071044
TAX IDENTIFICATION NUMBER
NY
01
60-134501
NEW YORK LICENSE NUMBER
NY
Enumeration date
03/20/2006
Last updated
03/07/2023
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