Individual
MR. CAMERON GITTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2208 TOWNEHOUSE DR, CORAM, NY 11727-2878
(631) 681-1102
Mailing address
2208 TOWNEHOUSE DR, CORAM, NY 11727-2878
(631) 681-1102
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310356
NY
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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