Provider Demographics
NPI:1144624552
Name:KAMINOFF, ASHLEY REBECCA
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:REBECCA
Last Name:KAMINOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W 60TH ST APT 20H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7945
Mailing Address - Country:US
Mailing Address - Phone:561-843-2223
Mailing Address - Fax:
Practice Address - Street 1:45 W 60TH ST APT 20H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7945
Practice Address - Country:US
Practice Address - Phone:561-843-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY886707141103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst