Provider Demographics
NPI:1144585852
Name:OCAMPO, GIOVANNI HERNANDEZ (MS, RPA-C)
Entity type:Individual
Prefix:MR
First Name:GIOVANNI
Middle Name:HERNANDEZ
Last Name:OCAMPO
Suffix:
Gender:M
Credentials:MS, RPA-C
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Other - First Name:
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Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-8585
Mailing Address - Fax:914-493-5049
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-1945
Practice Address - Fax:203-910-5049
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY23010996363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical