Provider Demographics
NPI:1518724798
Name:BARNES, CAMILLE P
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:P
Last Name:BARNES
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 1:902 DREW ST APT 159
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-5156
Mailing Address - Country:US
Mailing Address - Phone:929-269-9526
Mailing Address - Fax:
Practice Address - Street 1:902 DREW ST APT 159
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-5156
Practice Address - Country:US
Practice Address - Phone:929-269-9526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator