Individual
ANNISA CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PATTERSON VILLAGE CT, PATTERSON, NY 12563-2419
(914) 610-9886
Mailing address
55 PATTERSON VILLAGE CT, PATTERSON, NY 12563-2419
(914) 610-9886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P139323
NY
Other
Enumeration date
10/23/2025
Last updated
11/05/2025
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