Provider Demographics
NPI:1922585892
Name:AMIN, KAMINI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAMINI
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3803
Mailing Address - Country:US
Mailing Address - Phone:212-398-9999
Mailing Address - Fax:
Practice Address - Street 1:55 W 39TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3803
Practice Address - Country:US
Practice Address - Phone:212-398-9999
Practice Address - Fax:212-719-5371
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043287-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY043287-1OtherNY STATE LICENSE