Provider Demographics
NPI:1265655542
Name:KAUFMAN, STEVEN MITCHELL (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MITCHELL
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 BELLMORE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3719
Mailing Address - Country:US
Mailing Address - Phone:516-783-0569
Mailing Address - Fax:212-582-3243
Practice Address - Street 1:1130 BELLMORE RD
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3719
Practice Address - Country:US
Practice Address - Phone:516-783-0569
Practice Address - Fax:212-582-3243
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist