Individual
JENNIFER CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 HOWELLS RD STE 1, BAY SHORE, NY 11706-5320
(631) 533-2651
Mailing address
621 ALWICK AVE, WEST ISLIP, NY 11795-4001
(631) 533-2651
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
08/06/2026
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