Camacho, Yudi
Camacho, Yudi is an sole proprietor health care provider with primary practice located at 435 57Th St , West New York NJ 07093-2119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Camacho, Yudi can be contacted via phone (201) 520-1069.Contact Information
Primary practice address
435 57Th St
West New York NJ 07093-2119
Phone: (201) 520-1069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 25MA11525000 | New Jersey |
Profile Details
| NPI number | 1417477340 |
|---|---|
| LBN Legal business name | Camacho, Yudi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2017 |
| Last updated | Jan 16th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417477340 | NPPES |
| New Jersey | MEDICAID | 0864421 |
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