Individual
SANDRA CAMERON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2696 MAIN STREET, GREENWOOD, NY 14839-0784
(607) 225-4217
(607) 225-4558
Mailing address
PO BOX 784, GREENWOOD, NY 14839-0784
(607) 225-4217
(607) 225-4558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330501-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00363162
—
NY
Enumeration date
05/30/2006
Last updated
07/08/2007
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