National Provider Identifier

Charles Tyler Camp, M.D.

Charles Tyler Camp, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 898-4221.

NPI 1699138057Buffalo, NYPsychiatry Physician

Profile Overview

NPI
1699138057
Provider Type
Individual
Primary Specialty
Psychiatry Physician
Enumeration Date
April 03, 2016
Last Updated
August 10, 2020

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-4221

Specialties

  • Psychiatry Physician (2084P0800X)
Full Record
NPI
1699138057
Entity Type
Individual
Last Name
Camp
First Name
Charles
Middle Name
Tyler
Credential
M.D.
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-4221
Mailing Fax
(716) 898-4538
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-4221
Practice Fax
(716) 898-4538
Enumeration Date
April 03, 2016
Last Updated
August 10, 2020
Sex
Male
Sole Proprietor
No
Certification Date
August 10, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatry Physician (2084P0800X)