LETICIA CAMACHO-STOVERN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1598729071- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 5141 BROADWAY, NEW YORK, NY, 100341159
- Phone
- (212) 932-4171
Specialties & Taxonomies
Physician Assistant
License: FL #PA3045
Physician Assistant
License: NY #004975-01
Physician Assistant
Primary License: NJ #25MP00739700