Provider Demographics
NPI:1124468194
Name:AL-SUMAIRI, RAMI M (MD)
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:M
Last Name:AL-SUMAIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:506 MALCOLM X BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1889
Mailing Address - Country:US
Mailing Address - Phone:914-290-0061
Mailing Address - Fax:413-216-6704
Practice Address - Street 1:506 MALCOLM X BLVD FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1889
Practice Address - Country:US
Practice Address - Phone:212-939-2168
Practice Address - Fax:413-216-6704
Is Sole Proprietor?:No
Enumeration Date:2013-07-04
Last Update Date:2022-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2711792084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry