Provider Demographics
NPI:1003246109
Name:KAUFMAN, NAOMI (OTR/L)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 PROSPECT PARK SW
Mailing Address - Street 2:#8
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5966
Mailing Address - Country:US
Mailing Address - Phone:917-566-6118
Mailing Address - Fax:
Practice Address - Street 1:38 PROSPECT PARK SW
Practice Address - Street 2:#8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5966
Practice Address - Country:US
Practice Address - Phone:917-566-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018266225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist