Individual
MS. YOLANDA E. DECAMILLA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1349 SOUTH AVE, ROCHESTER, NY 14620-2818
(585) 244-1430
Mailing address
1349 SOUTH AVE, ROCHESTER, NY 14620-2818
(585) 244-1430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401189-1
NY
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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