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General NPI Number Information
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NPI Number | 1821175134
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Entity Type | Individual
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Provider Name | BRENDA Y CAMACHO MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 109 W 27TH ST RM 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 917-634-5311
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | PO BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087-0589
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Country | US
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Telephone | 833-351-8255
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 70110
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0026395
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD045733L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 314572
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA05891300
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 42.0017766
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License Number State | VT
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