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Individual
MISS NINA RAE CAMMILLERI
Active
Individual
MISS NINA RAE CAMMILLERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027317
NY
363AM0700X
Medical Physician Assistant
27317
NY
Other
Enumeration date
10/07/2021
Last updated
07/17/2023
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