Provider Demographics
NPI:1932555927
Name:RAMINFAR, NIMA YIGAL (DO)
Entity type:Individual
Prefix:
First Name:NIMA
Middle Name:YIGAL
Last Name:RAMINFAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4508
Mailing Address - Country:US
Mailing Address - Phone:718-930-4222
Mailing Address - Fax:
Practice Address - Street 1:2396 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5002
Practice Address - Country:US
Practice Address - Phone:718-576-1050
Practice Address - Fax:718-355-8520
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10398880207R00000X
NJ25MB10398800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine