Provider Demographics
NPI:1669829743
Name:KAMINETSKY, ALANA GROSS (PHD)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:GROSS
Last Name:KAMINETSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 W 89TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 W 89TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2002
Practice Address - Country:US
Practice Address - Phone:646-294-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral