Healthcare Provider Details

I. General information

NPI: 1306713508
Provider Name (Legal Business Name): LLOYD G. CAMPBELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WEDGEWOOD DR
WESTBURY NY
11590-2825
US

IV. Provider business mailing address

10 WEDGEWOOD DR
WESTBURY NY
11590-2825
US

V. Phone/Fax

Practice location:
  • Phone: 516-965-5700
  • Fax: 516-500-2214
Mailing address:
  • Phone: 516-965-5700
  • Fax: 516-500-2214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: