Provider Demographics
NPI:1932374337
Name:KAFKO, KAMINSKY, & KAUFMAN DDS, LLP
Entity Type:Organization
Organization Name:KAFKO, KAMINSKY, & KAUFMAN DDS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:KAMINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-355-2290
Mailing Address - Street 1:209 E 56TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3705
Mailing Address - Country:US
Mailing Address - Phone:212-355-2290
Mailing Address - Fax:212-355-2379
Practice Address - Street 1:209 E 56TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3705
Practice Address - Country:US
Practice Address - Phone:212-355-2290
Practice Address - Fax:212-355-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0367461223G0001X
NY04986011223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1811918592OtherINDIVIDUAL NPI
NY1942229703OtherINDIVIDUAL NPI
NY1588684138OtherINDIVIDUAL NPI
NY1124045166OtherINDIVIDUAL NPI
NY1336222850OtherINDIVIDUAL NPI