Kaminer, Evan M

Kaminer, Evan M is an individual health care provider with primary practice located at 18 Squadron Blvd , New City NY 10956-5210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kaminer, Evan M can be contacted via phone (845) 634-9729.

Contact Information

Primary practice address
18 Squadron Blvd New City NY 10956-5210
Fax: (845) 708-0488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 189747-1 New York

Profile Details

NPI number 1154312965
LBN Legal business name Kaminer, Evan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Dec 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154312965 NPPES
New York MEDICAID 01823436

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