Provider Demographics
NPI:1255527263
Name:KAMINSKI, RAMI P (MD)
Entity type:Individual
Prefix:DR
First Name:RAMI
Middle Name:P
Last Name:KAMINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAM
Other - Middle Name:
Other - Last Name:KAMINSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:111 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7301
Mailing Address - Country:US
Mailing Address - Phone:212-831-8338
Mailing Address - Fax:347-896-5103
Practice Address - Street 1:111 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7301
Practice Address - Country:US
Practice Address - Phone:212-831-8338
Practice Address - Fax:347-896-5103
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194131261QM2500X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY194131OtherMEDICAL LICENSE
NY194131OtherMEDICAL LICENSE