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NPI Code Detail

MEDICARE: TAYLOR VICTOR CAMELO

MEDICARE: TAYLOR VICTOR CAMELO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMT236224PA
2163WA0400XAddiction (Substance Use Disorder) Registered Nurse826047NY

General Provider Information

NPI Number : 1548905417
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR VICTOR CAMELO
Provider Business Mailing Address
First Line : 27 HILLCREST DR
Second Line :
City : AMHERST
State : NY
Zip : 14226-1404
Country : US
Telephone Number : 716-381-7061
Fax Number :
Provider Business Practice Location Address
First Line : 100 E LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1012
Country : US
Telephone Number : 215-707-8483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2022
Last Update Date : 05/14/2026

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Directions to “ TAYLOR VICTOR CAMELO ” Practice Location

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