Provider Demographics
NPI:1558879932
Name:CAMION, AMELIA M (LCAT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:M
Last Name:CAMION
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:MS
Other - First Name:LIA
Other - Middle Name:M
Other - Last Name:CAMION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCAT, ATR-BC
Mailing Address - Street 1:3312 HUDSON AVE APT 2N
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-5950
Mailing Address - Country:US
Mailing Address - Phone:347-480-7837
Mailing Address - Fax:
Practice Address - Street 1:64 W 3RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1021
Practice Address - Country:US
Practice Address - Phone:347-480-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001659-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty