Individual
BERIA Y CAMARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 5TH AVE, BAY SHORE, NY 11706-4102
(631) 328-4959
Mailing address
1322 5TH AVE, BAY SHORE, NY 11706-4102
(631) 328-4959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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