Individual
TAYLOR VICTOR CAMELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-8483
Mailing address
27 HILLCREST DR, AMHERST, NY 14226-1404
(716) 381-7061
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
826047
NY
2084P0800X
Psychiatry Physician
Primary
MT236224
PA
Other
Enumeration date
05/04/2022
Last updated
05/14/2026
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