Provider Demographics
NPI:1083369839
Name:HINDS ANDERSON, CAMILLE R
Entity Type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:R
Last Name:HINDS ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14619 SUTTER AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11436-1907
Mailing Address - Country:US
Mailing Address - Phone:347-730-1206
Mailing Address - Fax:
Practice Address - Street 1:14619 SUTTER AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11436-1907
Practice Address - Country:US
Practice Address - Phone:347-730-1206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist