Healthcare Provider Details

I. General information

NPI: 1447190897
Provider Name (Legal Business Name): VALERIE CAMACHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5874 57TH ST
MASPETH NY
11378-3126
US

IV. Provider business mailing address

15318 73RD AVE APT 2A
FLUSHING NY
11367-3039
US

V. Phone/Fax

Practice location:
  • Phone: 718-456-7105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: