Individual
CHANA CHRISTINA CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 JOHN ST RM 1450, NEW YORK, NY 10038-3122
(212) 204-6501
Mailing address
88 GREENWICH ST APT 911, NEW YORK, NY 10006-2232
(561) 906-7348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024494
NY
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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