Doctor Name: | MRS. JOANNE M CAMARDA |
NPI Number: | 1023382660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 38-382270 |
Business Practice Address: | 2280 N Ocean Ave Inside Kmart Farmingville, NY - 117382911 |
Business Phone Number: | 6312828450 |
Business Fax Number: | |
Mailing Address: | 2280 N Ocean Ave, Inside Kmart FARMINGVILLE |
State: | NY |
Postal Code: | 117382911 |
Phone Number: | 6312828450 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2012 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 38-382270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |