Provider Demographics
NPI:1568810083
Name:CAMEO MEDICAL SERVIES PC
Entity Type:Organization
Organization Name:CAMEO MEDICAL SERVIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAT
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-368-1541
Mailing Address - Street 1:3750 EXPRESSWAY DR S
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5575
Mailing Address - Country:US
Mailing Address - Phone:631-827-8159
Mailing Address - Fax:631-368-1537
Practice Address - Street 1:3750 EXPRESSWAY DR S
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5575
Practice Address - Country:US
Practice Address - Phone:631-827-8159
Practice Address - Fax:631-368-1537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Single Specialty