Provider Demographics
NPI:1548221245
Name:KAUFMAN, ARNEY LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ARNEY
Middle Name:LEE
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 KINDERKAMACK ROAD
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07656-1338
Mailing Address - Country:US
Mailing Address - Phone:201-391-2803
Mailing Address - Fax:201-391-2804
Practice Address - Street 1:127 KINDERKAMACK ROAD
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07656-1338
Practice Address - Country:US
Practice Address - Phone:201-391-2803
Practice Address - Fax:201-391-2804
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00169100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ443878Medicare UPIN
NJ443878Medicare PIN