Provider Demographics
NPI:1821338492
Name:CAMERLENGO, AMY E
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:CAMERLENGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 LEBEAU DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1525
Mailing Address - Country:US
Mailing Address - Phone:617-549-8241
Mailing Address - Fax:
Practice Address - Street 1:324 2ND AVE
Practice Address - Street 2:4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2725
Practice Address - Country:US
Practice Address - Phone:617-549-8241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist