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Individual

MS. JENNIFER CAMPOVERDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
760 FLUSHING AVE, PRIMARY CARE PRACTICE, BROOKLYN, NY 11206
(718) 963-2000
Mailing address
573 W 192ND ST APT 5E, NEW YORK, NY 10040-3353
(646) 942-1660

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
350100
NY
207QA0505X
Adult Medicine Physician
Primary
350100
NY

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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