Provider Demographics
NPI:1528240405
Name:RAMIREZ AGRAMONTE, SAHIRA GISELLE (MD)
Entity type:Individual
Prefix:MISS
First Name:SAHIRA
Middle Name:GISELLE
Last Name:RAMIREZ AGRAMONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAHIRA
Other - Middle Name:G
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-2243
Mailing Address - Country:US
Mailing Address - Phone:516-377-8014
Mailing Address - Fax:516-377-8017
Practice Address - Street 1:1600 EUREKA RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-784-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1563394R71207R00000X
NY003519207R00000X
CAC153803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003519OtherLICENSE