Individual
INGRID X CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 PARK AVE, HUNTINGTON, NY 11743-4543
(631) 271-5800
Mailing address
25 WENDORF CT, NORTH BABYLON, NY 11703-4419
(516) 859-2704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344302
NY
Other
Enumeration date
06/22/2022
Last updated
06/28/2022
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