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NPI Code Detail

MEDICARE: SIMONETTE CAMACHO CIPOLLA ACNP

MEDICARE: SIMONETTE CAMACHO CIPOLLA ACNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse PractitionerF430093-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F430093-1OTHERNYNP LICENCE

General Provider Information

NPI Number : 1396912929
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONETTE CAMACHO CIPOLLA ACNP
Provider Business Mailing Address
First Line : 1 GUSTAVE LEVY PLACE BOX #1458
Second Line : MOUNT SINAI HOSPITAL
City : NEW YORK
State : NY
Zip : 10029
Country : US
Telephone Number : 212-241-5544
Fax Number :
Provider Business Practice Location Address
First Line : 1 GUSTAVE LEVY PLACE BOX #1458
Second Line : MOUNT SINAI HOSPITAL
City : NEW YORK
State : NY
Zip : 10029
Country : US
Telephone Number : 212-241-5544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2008
Last Update Date : 03/07/2023

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