Provider Demographics
NPI:1144703687
Name:RAMOTAR, KIMMY (PSYD)
Entity type:Individual
Prefix:DR
First Name:KIMMY
Middle Name:
Last Name:RAMOTAR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 3RD AVE FL 16
Mailing Address - Street 2:#1047
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3224
Mailing Address - Country:US
Mailing Address - Phone:646-450-3064
Mailing Address - Fax:855-930-2883
Practice Address - Street 1:733 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3204
Practice Address - Country:US
Practice Address - Phone:646-496-5412
Practice Address - Fax:855-930-2883
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022867103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical