Provider Demographics
NPI:1699440735
Name:RAMDASS, SHELAINE B
Entity type:Individual
Prefix:
First Name:SHELAINE
Middle Name:B
Last Name:RAMDASS
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 1:312 E 197TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-3678
Mailing Address - Country:US
Mailing Address - Phone:917-923-8206
Mailing Address - Fax:
Practice Address - Street 1:312 E 197TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-3678
Practice Address - Country:US
Practice Address - Phone:917-923-8206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health