Individual
CAMILLE L MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 S. DIVISION STREET, BUFFALO, NY 14204
(716) 597-3211
Mailing address
435 S. DIVISION STREET, BUFFALO, NY 14204
(716) 597-3211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292675
NY
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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