Provider Demographics
NPI:1821146861
Name:ANTOINE-CAMEAU, MARIE V (RPA-C)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:V
Last Name:ANTOINE-CAMEAU
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:ROOM 12 EAST 12
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-1680
Mailing Address - Fax:212-562-1587
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:ROOM 12 EAST 12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-1680
Practice Address - Fax:212-562-1587
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY005015363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical