MEDICARE: MS. NINA KAMINSKY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	070646-1	NY

General Provider Information

NPI Number	:	1730355843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NINA KAMINSKY LCSW

Provider Business Mailing Address
First Line	:	122 WEST 27TH STREET
Second Line	:	6TH FLOOR ATTN GREENWICH HOUSE INC
City	:	NEW YORK
State	:	NY
Zip	:	10001
Country	:	US
Telephone Number	:	212-691-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 W 27TH ST
Second Line	:	6TH FLOOR (C/C GREENWICH HOUSE)
City	:	NEW YORK
State	:	NY
Zip	:	10001-6227
Country	:	US
Telephone Number	:	212-691-2900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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