Rodriguez Hernandez, Ramon Omar

Rodriguez Hernandez, Ramon Omar is an individual health care provider with primary practice located at 1500 Route 112 Ste C , Port Jefferson Station NY 11776-8054. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rodriguez Hernandez, Ramon Omar can be contacted via phone (631) 732-9090.

Contact Information

Primary practice address
1500 Route 112 Ste C Port Jefferson Station NY 11776-8054
Phone: (631) 732-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1720565310
LBN Legal business name Rodriguez Hernandez, Ramon Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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