Healthcare Provider Details

I. General information

NPI: 1699397836
Provider Name (Legal Business Name): KAMILA CONTENTO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAMILA MIKOS

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

330 E 39TH ST APT 11N
NEW YORK NY
10016-2119
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-5209
  • Fax:
Mailing address:
  • Phone: 201-956-0556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberORT009171
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: