Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 180580 | NY |
NPI | 1013966027 |
---|---|
Provider Name | Dr. Susan A. Kaminski |
First Address | Yonkers, NY 10710-7616 |
Second Address | Yonkers, NY 10710-7616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 30/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01220731 | (05) | NY |
E-50353 | (02) | NY |