Provider Demographics
NPI:1962602433
Name:RAMIREZ, JOSE M (CNIM)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:CNIM
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Mailing Address - Street 1:5 PARK DR
Mailing Address - Street 2:APT 111
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-6050
Mailing Address - Country:US
Mailing Address - Phone:845-499-0895
Mailing Address - Fax:201-862-9136
Practice Address - Street 1:1086 TEANECK RD
Practice Address - Street 2:SUITE 4A
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4854
Practice Address - Country:US
Practice Address - Phone:201-862-9900
Practice Address - Fax:201-862-9136
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2013-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1295174400000X
1295246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No174400000XOther Service ProvidersSpecialist