Provider Demographics
NPI:1710358239
Name:LERNER, RAMILIA (FNP)
Entity type:Individual
Prefix:
First Name:RAMILIA
Middle Name:
Last Name:LERNER
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 OCEAN AVE # UNITE1F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3576
Mailing Address - Country:US
Mailing Address - Phone:718-444-7774
Mailing Address - Fax:718-444-7775
Practice Address - Street 1:2409 OCEAN AVE # UNITE1F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3576
Practice Address - Country:US
Practice Address - Phone:718-444-7774
Practice Address - Fax:718-444-7775
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2025-05-08
Deactivation Date:2016-07-11
Deactivation Code:
Reactivation Date:2019-10-10
Provider Licenses
StateLicense IDTaxonomies
NY702935-1163W00000X
NY344011363LF0000X
NYF344011-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse