Healthcare Provider Details

I. General information

NPI: 1598393373
Provider Name (Legal Business Name): LILA KAMINSKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 NEW LITCHFIELD ST
TORRINGTON CT
06790-7811
US

IV. Provider business mailing address

1215 NEW LITCHFIELD ST
TORRINGTON CT
06790-7811
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-1132
  • Fax: 860-489-0434
Mailing address:
  • Phone: 860-489-1132
  • Fax: 860-489-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number86035
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: