Provider Demographics
NPI:1174965271
Name:ABDULAI, RAMATU (LPN)
Entity type:Individual
Prefix:MISS
First Name:RAMATU
Middle Name:
Last Name:ABDULAI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 JESUP AVE
Mailing Address - Street 2:APT 2A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-1975
Mailing Address - Country:US
Mailing Address - Phone:917-209-2215
Mailing Address - Fax:
Practice Address - Street 1:1450 JESUP AVE
Practice Address - Street 2:APT 2A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-1975
Practice Address - Country:US
Practice Address - Phone:917-209-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307631-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse