Healthcare Provider Details

I. General information

NPI: 1083500334
Provider Name (Legal Business Name): CAMO-NYC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W END AVE
NEW YORK NY
10023-7839
US

IV. Provider business mailing address

21 W END AVE APT 3512
NEW YORK NY
10023-8186
US

V. Phone/Fax

Practice location:
  • Phone: 888-526-4818
  • Fax:
Mailing address:
  • Phone: 347-484-9767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. EVENS ANOZINE
Title or Position: CEO
Credential:
Phone: 347-484-9767