Individual
IGA MARLENA RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 COMMACK RD, COMMACK, NY 11725-5404
(316) 636-0590
Mailing address
5 BEACON HILL DR, STONY BROOK, NY 11790-1807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311838-01
NY
Other
Enumeration date
07/17/2024
Last updated
03/26/2025
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