Provider Demographics
NPI:1962632471
Name:CAMERON, BARBARA FRANCES (LICENSED PRACTICAL)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:FRANCES
Last Name:CAMERON
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 NORTH BROADWAY
Mailing Address - Street 2:SUITE 3003
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2909
Mailing Address - Country:US
Mailing Address - Phone:516-605-1310
Mailing Address - Fax:516-605-1306
Practice Address - Street 1:76 NORTH BROADWAY
Practice Address - Street 2:SUITE 3003
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2909
Practice Address - Country:US
Practice Address - Phone:516-605-1310
Practice Address - Fax:516-605-1306
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229595-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse