Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 6714 | NM |
NPI | 1063506442 |
---|---|
Provider Name | Neil I Kaminsky |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Albuquerque, NM 87110-7613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 24/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14480 | (05) | NM |
D43189 | (02) |