Provider Demographics
NPI:1881770725
Name:KAMINER, RUTH K (MD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:K
Last Name:KAMINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RALPH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-3812
Mailing Address - Country:US
Mailing Address - Phone:718-430-8507
Mailing Address - Fax:718-892-2296
Practice Address - Street 1:CERC RF KENNEDY CTR.- PEDIATRI
Practice Address - Street 2:1410 PELHAM PKWY SOUTH RM 108
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-430-8507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0916272080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics