Provider Demographics
NPI:1326874363
Name:TAJESHWAR, RAMONA (MSED)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:TAJESHWAR
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:RAMESHWAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8814 146TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3644
Mailing Address - Country:US
Mailing Address - Phone:347-652-6343
Mailing Address - Fax:
Practice Address - Street 1:189 WHEATLEY RD
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-2641
Practice Address - Country:US
Practice Address - Phone:516-626-1075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1717506231103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool