Provider Demographics
NPI:1386945103
Name:RAMJATTAN, TINA (LPN)
Entity type:Individual
Prefix:MISS
First Name:TINA
Middle Name:
Last Name:RAMJATTAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1382 CROTONA AVE
Mailing Address - Street 2:5C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2579
Mailing Address - Country:US
Mailing Address - Phone:347-266-8678
Mailing Address - Fax:
Practice Address - Street 1:1382 CROTONA AVE
Practice Address - Street 2:5C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2579
Practice Address - Country:US
Practice Address - Phone:347-266-8678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302683164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse