Individual
DANIEL CAMILLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 BIRCH ST, MORGANTOWN, WV 26505-3418
(914) 483-8967
Mailing address
39 HOLLY HILL DR, WINGDALE, NY 12594-1314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003149
NY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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