Provider Demographics
NPI:1083500334
Name:CAMO-NYC
Entity type:Organization
Organization Name:CAMO-NYC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVENS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOZINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-484-9767
Mailing Address - Street 1:21 W END AVE APT 3512
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8186
Mailing Address - Country:US
Mailing Address - Phone:347-484-9767
Mailing Address - Fax:
Practice Address - Street 1:21 W END AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7839
Practice Address - Country:US
Practice Address - Phone:888-526-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty