Individual
CARLA MARIA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
252Y00000X
Contact information
Practice address
124 MAIN ST, GOSHEN, NY 10924-2133
(845) 360-6641
(845) 360-9076
Mailing address
124 MAIN ST, GOSHEN, NY 10924-2133
(845) 360-6641
(845) 360-9076
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
660027907
NY
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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