Provider Demographics
NPI:1558425157
Name:CAMERON, AIRLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:AIRLIE
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GRAMATAN CT
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3015
Mailing Address - Country:US
Mailing Address - Phone:914-961-7319
Mailing Address - Fax:
Practice Address - Street 1:432 W 58TH ST
Practice Address - Street 2:ROOM 207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1102
Practice Address - Country:US
Practice Address - Phone:212-523-4320
Practice Address - Fax:212-523-7442
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089903207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease