Provider Demographics
NPI:1760600209
Name:KAUFMAN, STEVEN H (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E MAIN ST
Mailing Address - Street 2:SUITE 2-3C
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2923
Mailing Address - Country:US
Mailing Address - Phone:631-261-6435
Mailing Address - Fax:631-261-7253
Practice Address - Street 1:205 E MAIN ST
Practice Address - Street 2:SUITE 2-3C
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2923
Practice Address - Country:US
Practice Address - Phone:631-261-6435
Practice Address - Fax:631-261-7253
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000201-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist