Individual
AMPARO G CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 422-4417
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
303920
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303920
NY
Other
Enumeration date
09/02/2012
Last updated
07/30/2015
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