Provider Demographics
NPI:1003362534
Name:KAUFMAN, KALMAN
Entity Type:Individual
Prefix:
First Name:KALMAN
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 TOLTCHAV WAY
Mailing Address - Street 2:UNIT 201
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-8566
Mailing Address - Country:US
Mailing Address - Phone:845-774-6162
Mailing Address - Fax:845-875-4248
Practice Address - Street 1:3 TOLTCHAV WAY
Practice Address - Street 2:UNIT 201
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-8566
Practice Address - Country:US
Practice Address - Phone:845-774-6162
Practice Address - Fax:845-875-4248
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker