Provider Demographics
NPI:1073669966
Name:KAMINSKY, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KAMINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 BARSTOW RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2209
Mailing Address - Country:US
Mailing Address - Phone:516-487-4171
Mailing Address - Fax:516-487-4171
Practice Address - Street 1:29 BARSTOW RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2209
Practice Address - Country:US
Practice Address - Phone:516-487-4171
Practice Address - Fax:516-487-4171
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1416792084P0800X, 2084P0804X, 2084P0805X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Not Answered2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16965OtherCIGNA ELECTRONIC ID#
NY0075951OtherGHI NY
NY268593OtherCOMPSYCH
NYP62268927OtherMULTIPLAN
NY73A221OtherBC BS EMPIRE NY
NY68017OtherVYTRA
NYP1075970OtherOXFORD
NY4551900OtherMAGELLAN
NY4209139OtherAETNA ID#
NYPP47146OtherMDNY
NY071494OtherVALUE OPTIONS
NY141679N01OtherHIP NY
NY68017OtherVYTRA