Provider Demographics
NPI:1033850235
Name:KAMINSKI, KATHERINE ANNA (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANNA
Last Name:KAMINSKI
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 1:401 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1505
Mailing Address - Country:US
Mailing Address - Phone:856-757-7903
Mailing Address - Fax:
Practice Address - Street 1:6 E 45TH ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2461
Practice Address - Country:US
Practice Address - Phone:347-558-4094
Practice Address - Fax:833-224-5817
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335767207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine