Provider Demographics
NPI:1053124511
Name:FREEMAN, RAMON
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 SPRING BROOK AVE
Mailing Address - Street 2:SUITE 8 UNIT 302
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-3726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6565 SPRING BROOK AVE
Practice Address - Street 2:SUITE 8 UNIT 302
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-3726
Practice Address - Country:US
Practice Address - Phone:631-431-7468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)