Provider Demographics
NPI:1154003408
Name:AR NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:AR NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ANNETA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMCHARRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-866-6117
Mailing Address - Street 1:12415 116TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-2522
Mailing Address - Country:US
Mailing Address - Phone:347-866-6117
Mailing Address - Fax:
Practice Address - Street 1:4024 76TH ST STE 1AB
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1009
Practice Address - Country:US
Practice Address - Phone:347-866-6117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty