| Camille Dillard DO | |
|
900 Erie Blvd W Rome NY 13440-2904 | |
| (888) 338-9355 | |
| (315) 337-2947 |
| Full Name | Camille Dillard DO |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Erie Blvd W, Rome, New York |
| Authorized Official Name and Position | Camille D Dillard (PHYSICIAN OWNER) |
| Authorized Official Contact | 8883389355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Dillard DO Po Box 95 New York Mills NY 13417-0095 Ph: (315) 736-2080 | Camille Dillard DO 900 Erie Blvd W Rome NY 13440-2904 Ph: (888) 338-9355 |
| NPI Number | 1194916460 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194916460 | NPI | - | NPPES |
| 02302578 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 205458 (New York) | Primary |
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