Provider Demographics
NPI:1730190166
Name:KAMINS, BRUCE (DC,)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:
Last Name:KAMINS
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17217 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5562
Mailing Address - Country:US
Mailing Address - Phone:718-297-8875
Mailing Address - Fax:718-297-8873
Practice Address - Street 1:17217 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5562
Practice Address - Country:US
Practice Address - Phone:718-297-8875
Practice Address - Fax:718-297-8873
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007218111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor