Provider Demographics
NPI:1144217027
Name:PEARTE, CAMILLE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:PEARTE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 39TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2140
Mailing Address - Country:US
Mailing Address - Phone:917-346-5747
Mailing Address - Fax:917-423-0413
Practice Address - Street 1:130 E 77TH ST
Practice Address - Street 2:CARDIOLOGY - 9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1851
Practice Address - Country:US
Practice Address - Phone:212-434-4363
Practice Address - Fax:212-434-2205
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236491207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH19346Medicare UPIN