MEDICARE: CHRISTINA MARIE CAMERA

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
1	183500000X	Pharmacist	063002	NY

General Provider Information

NPI Number	:	1477056604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE CAMERA

Provider Business Mailing Address
First Line	:	229 WYNGATE DR
Second Line	:
City	:	NORTH MASSAPEQUA
State	:	NY
Zip	:	11758-2716
Country	:	US
Telephone Number	:	917-533-3123
Fax Number	:

Provider Business Practice Location Address
First Line	:	2268 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5403
Country	:	US
Telephone Number	:	212-877-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2018
Last Update Date	:	03/14/2018

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Directions to “ CHRISTINA MARIE CAMERA ” Practice Location

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