Individual
CARMEN CAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
Mailing address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
190884-1
NY
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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