Provider Demographics
NPI:1194311001
Name:RAMOS, EBELIN
Entity type:Individual
Prefix:
First Name:EBELIN
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 FORT WASHINGTON AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1316
Mailing Address - Country:US
Mailing Address - Phone:212-927-0300
Mailing Address - Fax:347-230-8844
Practice Address - Street 1:286 FORT WASHINGTON AVE APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1316
Practice Address - Country:US
Practice Address - Phone:212-927-0300
Practice Address - Fax:347-230-8844
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health