Pretam G Rampersaud Md Pc | |
457 Alter Ave Staten Island NY 10305-2310 | |
(718) 979-9790 | |
(718) 979-9798 |
Full Name | Pretam G Rampersaud Md Pc |
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Speciality | Internal Medicine |
Location | 457 Alter Ave, Staten Island, New York |
Authorized Official Name and Position | Pretman G Rampersaud (OWNER) |
Authorized Official Contact | 7189799790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pretam G Rampersaud Md Pc 774 Dumont Pl Valley Stream NY 11581-3122 Ph: (718) 979-9790 | Pretam G Rampersaud Md Pc 457 Alter Ave Staten Island NY 10305-2310 Ph: (718) 979-9790 |
NPI Number | 1336511351 |
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Provider Enumeration Date | 10/29/2015 |
Last Update Date | 01/13/2016 |
Medicare PECOS PAC ID | 6507167111 |
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Medicare Enrollment ID | O20151223000574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336511351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 210256 (New York) | Primary |
Provider Name | Pretam G Rampersaud |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1104816685 PECOS PAC ID: 5092791350 Enrollment ID: I20040628000142 |
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