Provider Demographics
NPI:1427344845
Name:RAMDEEN, MARILYN SAVITRI (LPN)
Entity type:Individual
Prefix:MISS
First Name:MARILYN
Middle Name:SAVITRI
Last Name:RAMDEEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:SAVITRI
Other - Middle Name:MARILYN
Other - Last Name:RAMSAYWACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 JUNARD BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-2037
Mailing Address - Country:US
Mailing Address - Phone:631-828-6263
Mailing Address - Fax:
Practice Address - Street 1:43 JUNARD BLVD
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-2037
Practice Address - Country:US
Practice Address - Phone:631-828-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10275048164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse