Doctor Name: | RUTH CECCHETELLI-KAMINSKY |
NPI Number: | 1093146276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P89157 |
Business Practice Address: | 367 Windsor Hwy # 215 New Windsor, NY - 125537900 |
Business Phone Number: | 8556622225 |
Business Fax Number: | |
Mailing Address: | 356 Union Ave, NEW WINDSOR |
State: | NY |
Postal Code: | 125536206 |
Phone Number: | 8457284520 |
Fax Number: | 8556622225 |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | P89157 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |