Provider Demographics
NPI:1699820449
Name:DAVID L. KAUFMAN M.D, P.C.
Entity Type:Organization
Organization Name:DAVID L. KAUFMAN M.D, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-982-4070
Mailing Address - Street 1:37 WASHINGTON SQ W
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9181
Mailing Address - Country:US
Mailing Address - Phone:212-982-4070
Mailing Address - Fax:212-777-4064
Practice Address - Street 1:37 WASHINGTON SQ W
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9181
Practice Address - Country:US
Practice Address - Phone:212-982-4070
Practice Address - Fax:212-777-4064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100000179Medicare PIN