Provider Demographics
NPI:1558077545
Name:CAMARO-HAAS, CHRISTINA (MS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:CAMARO-HAAS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:CAMARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:33 CALEB BREWSTER RD
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3731
Mailing Address - Country:US
Mailing Address - Phone:631-675-0954
Mailing Address - Fax:
Practice Address - Street 1:33 CALEB BREWSTER RD
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3731
Practice Address - Country:US
Practice Address - Phone:631-675-0954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY670843101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool