Provider Demographics
NPI:1235337676
Name:KAUFSTEIN, BRUCE D (LCSW)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:D
Last Name:KAUFSTEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 LENOX RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1934
Mailing Address - Country:US
Mailing Address - Phone:631-278-3934
Mailing Address - Fax:
Practice Address - Street 1:199 LENOX RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1934
Practice Address - Country:US
Practice Address - Phone:631-278-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR021099-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical