Provider Demographics
NPI:1023382660
Name:CAMARDA, JOANNE M (PNP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:M
Last Name:CAMARDA
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-444-7720
Mailing Address - Fax:
Practice Address - Street 1:101 NICOLLS RD FL HSC11
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-2911
Practice Address - Country:US
Practice Address - Phone:631-444-7720
Practice Address - Fax:631-444-7865
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY38-382270363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics