Provider Demographics
NPI:1447489059
Name:KAMINETZKY, GENIA HELENE (DMD)
Entity type:Individual
Prefix:DR
First Name:GENIA
Middle Name:HELENE
Last Name:KAMINETZKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 RUTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2924
Mailing Address - Country:US
Mailing Address - Phone:201-836-4872
Mailing Address - Fax:201-836-2051
Practice Address - Street 1:101 AVENUE OF THE AMERICAS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1941
Practice Address - Country:US
Practice Address - Phone:212-388-3737
Practice Address - Fax:212-388-3156
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042506-1122300000X
NJD17113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist