Provider Demographics
NPI:1811232374
Name:CAMBI, CARMEN Y (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:Y
Last Name:CAMBI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 OCEAN PKWY
Mailing Address - Street 2:APT. 1G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1754
Mailing Address - Country:US
Mailing Address - Phone:718-972-1354
Mailing Address - Fax:718-972-1354
Practice Address - Street 1:81 OCEAN PKWY
Practice Address - Street 2:APT. 1G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1754
Practice Address - Country:US
Practice Address - Phone:718-972-1354
Practice Address - Fax:718-972-1354
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311753-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse