Provider Demographics
NPI:1992297204
Name:BUENO-SANCHEZ, CAMILA
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:BUENO-SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAMILA
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:58 HORSEBLOCK RD APT 1B
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-4349
Mailing Address - Country:US
Mailing Address - Phone:516-728-0176
Mailing Address - Fax:516-728-0176
Practice Address - Street 1:676 S COUNTRY RD
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772
Practice Address - Country:US
Practice Address - Phone:631-286-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program