Individual
CAMILA V GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 98TH PL, APT LB, CORONA, NY 11368-3001
(718) 271-3687
Mailing address
5530 98TH PL, APT LB, CORONA, NY 11368-3001
(718) 271-3687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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