Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 002266 | NY |
NPI | 1023120375 |
---|---|
Provider Name | Nicholas G Camarinos |
First Address | Astoria, NY 11105-2716 |
Second Address | Astoria, NY 11105-2716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01695367 | (05) | NY |
T31961 | (02) | NY |