Individual
CAMILO A MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6745
Mailing address
407 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0099982
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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