Provider Demographics
NPI:1851354161
Name:CAMELI, DENISE (FNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:CAMELI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-0069
Mailing Address - Country:US
Mailing Address - Phone:914-493-8375
Mailing Address - Fax:914-347-1832
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 2100
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-493-8375
Practice Address - Fax:914-347-1832
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ07602Medicare UPIN
NY0346G1Medicare ID - Type Unspecified