Camacho, Loraine

Camacho, Loraine is an sole proprietor health care provider with primary practice located at 565 Manhattan Ave , New York NY 10027-5250. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Camacho, Loraine can be contacted via phone (212) 222-5221.

Contact Information

Primary practice address
565 Manhattan Ave New York NY 10027-5250
Phone: (212) 222-5221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 537125 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335900 New York

Profile Details

NPI number 1619176104
LBN Legal business name Camacho, Loraine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Feb 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619176104 NPPES
New York MEDICAID 01974294

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