Provider Demographics
NPI:1578678249
Name:KAUFMAN, DARREN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:SCOTT
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5225 NESCONSET HWY
Mailing Address - Street 2:SUITE 60 - BUILDING 13
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-2053
Mailing Address - Country:US
Mailing Address - Phone:631-406-6676
Mailing Address - Fax:631-331-3292
Practice Address - Street 1:5225 NESCONSET HWY
Practice Address - Street 2:SUITE 60 - BUILDING 13
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-2053
Practice Address - Country:US
Practice Address - Phone:631-406-6676
Practice Address - Fax:631-331-3292
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY178674207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY800AN1OtherBCBS
NY800AN2OtherBCBS
NYF24557Medicare UPIN
NY800AN2OtherBCBS