Individual
CAMILLE L MENDEZ MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8475
Mailing address
515 W 59TH ST APT 27D, NEW YORK, NY 10019-1032
(787) 504-1241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
290011
NY
2084P0805X
Geriatric Psychiatry Physician
290011
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2012
Last updated
04/27/2020
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