Individual
MRS. CAMILLE GUARINO CIACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
161 SPRING ST, SOUTH SALEM, NY 10590-1614
(914) 977-3796
Mailing address
161 SPRING ST, SOUTH SALEM, NY 10590-1614
(914) 977-3796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1545058
NY
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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