Individual
DR. ANTHONY JOHN DECAMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
232 BRIXTON RD S, GARDEN CITY, NY 11530-5627
(516) 456-5546
Mailing address
232 BRIXTON RD S, GARDEN CITY, NY 11530-5627
(516) 456-5546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016512
NY
Other
Enumeration date
07/28/2007
Last updated
07/28/2007
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