Provider Demographics
NPI:1679238182
Name:KAUFMAN, AMANDA (MS IN EDUCATION)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MS IN EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BON AIRE CIR W APT 10C
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7045
Mailing Address - Country:US
Mailing Address - Phone:845-548-6454
Mailing Address - Fax:
Practice Address - Street 1:120 N MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3743
Practice Address - Country:US
Practice Address - Phone:845-638-3072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist