National Provider Identifier

Krystal M Kaminski, PA-C

Krystal M Kaminski, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 342-2410.

NPI 1578841292Rochester, NYSurgical Physician Assistant

Profile Overview

NPI
1578841292
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
July 29, 2011
Last Updated
December 03, 2020

Practice Location

  • 2619 Culver RD
  • Suite 2A
  • Rochester, NY 14609-1738

Phone: (585) 342-2410

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1578841292
Entity Type
Individual
Last Name
Kaminski
First Name
Krystal
Middle Name
M
Name Prefix
MS.
Credential
PA-C
Provider Other Last Name
Young
Provider Other First Name
Krystal
Provider Other Middle Name
M
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
2619 Culver RD
Mailing Address Line 2
Suite 2A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1738
Mailing Country
US
Mailing Phone
(585) 342-2410
Practice Street Address
2619 Culver RD
Practice Address Line 2
Suite 2A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1738
Practice Country
US
Practice Phone
(585) 342-2410
Enumeration Date
July 29, 2011
Last Updated
December 03, 2020
Sex
Female
Sole Proprietor
No
Certification Date
December 03, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)