Provider Demographics
NPI:1760785471
Name:KAUFMANN, TAMI
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 PASSAIC AVE
Mailing Address - Street 2:UNIT 12
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4726
Mailing Address - Country:US
Mailing Address - Phone:973-777-7463
Mailing Address - Fax:973-777-7463
Practice Address - Street 1:386 ROUTE 59
Practice Address - Street 2:SUITE 102
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3428
Practice Address - Country:US
Practice Address - Phone:845-368-7927
Practice Address - Fax:845-368-7929
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist