Individual
DR. ADESH ANTHONY RAMDASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2190
(631) 686-7654
Mailing address
11547 147TH ST, JAMAICA, NY 11436-1116
(347) 806-7032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
294543
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851787832
—
NY
Enumeration date
04/07/2015
Last updated
09/08/2018
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