Provider Demographics
NPI:1649438151
Name:ECKMAN-CAMERA, DANIEL S (LMT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:S
Last Name:ECKMAN-CAMERA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-2231
Mailing Address - Country:US
Mailing Address - Phone:607-239-1483
Mailing Address - Fax:
Practice Address - Street 1:503 N MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-2231
Practice Address - Country:US
Practice Address - Phone:607-239-1483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27 021439225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist