Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 150394 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 150394 | NY |
NPI | 1023085701 |
---|---|
Provider Name | Dr. Christopher De Camp |
First Address | Albany, NY 12205-1417 |
Second Address | Albany, NY 12205-1417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 31/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E79004 | (02) | NY |