Provider Demographics
NPI:1063167484
Name:MIRIAM RAMIREZ L.L.C
Entity type:Organization
Organization Name:MIRIAM RAMIREZ L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-692-9227
Mailing Address - Street 1:1727 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3802
Mailing Address - Country:US
Mailing Address - Phone:845-947-8353
Mailing Address - Fax:
Practice Address - Street 1:3 BROADWAY
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1605
Practice Address - Country:US
Practice Address - Phone:845-947-8353
Practice Address - Fax:347-657-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center