Individual
YUDI CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 57TH ST, WEST NEW YORK, NJ 07093-2119
(201) 520-1069
Mailing address
435 57TH ST, WEST NEW YORK, NJ 07093-2119
(201) 520-1069
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA11525000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864421
—
NJ
Enumeration date
06/21/2017
Last updated
01/16/2024
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