Provider Demographics
NPI:1861712317
Name:WHITE, CAMELE (MD)
Entity type:Individual
Prefix:DR
First Name:CAMELE
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 REMSEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-1245
Mailing Address - Country:US
Mailing Address - Phone:347-915-1755
Mailing Address - Fax:347-915-1756
Practice Address - Street 1:385 REMSEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-1245
Practice Address - Country:US
Practice Address - Phone:347-915-1755
Practice Address - Fax:347-915-1756
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256758-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NYW6L111Medicare Oscar/Certification
NY00695941Medicaid
NYG100000410Medicare Oscar/Certification
NY331943Medicare Oscar/Certification