Individual
CAMILLE SCHICKLER HOUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3050
(585) 368-3113
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 368-3050
(585) 368-3113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00780938
—
NY
Enumeration date
08/09/2010
Last updated
04/30/2021
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