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NPI Code Detail

MEDICARE: KAMILA BARNES

MEDICARE: KAMILA BARNES
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
1363LF0000XFamily Nurse Practitioner336781-1NY

General Provider Information

NPI Number : 1710275946
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMILA BARNES
Provider Business Mailing Address
First Line : 10918 VAN WYCK EXPY
Second Line :
City : SOUTH OZONE PARK
State : NY
Zip : 11420-1814
Country : US
Telephone Number : 585-454-7530
Fax Number : 585-423-7440
Provider Business Practice Location Address
First Line : 950 NORTON ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3732
Country : US
Telephone Number : 585-454-7530
Fax Number : 585-423-7440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2011
Last Update Date : 07/21/2011

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Directions to “ KAMILA BARNES ” Practice Location

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