Individual
MRS. MERYL A. CAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8300
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070526-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
TAXONOMY
NY
01
—
112289028
TAX
NY
Enumeration date
08/23/2006
Last updated
01/08/2021
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