Provider Demographics
NPI:1477765329
Name:KAREN, JULIE KAUFMANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KAUFMANN
Last Name:KAREN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E 64TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6690
Mailing Address - Country:US
Mailing Address - Phone:212-759-4900
Mailing Address - Fax:212-759-4800
Practice Address - Street 1:225 E 64TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6690
Practice Address - Country:US
Practice Address - Phone:212-759-4900
Practice Address - Fax:212-759-4800
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233374207ND0101X, 207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWER161Medicare PIN