Provider Demographics
NPI:1396208419
Name:KAUFMAN, ODELYA HARTUNG (MD, PHD)
Entity type:Individual
Prefix:
First Name:ODELYA
Middle Name:HARTUNG
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:ODELYA
Other - Middle Name:
Other - Last Name:HARTUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3525
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3525
Practice Address - Country:US
Practice Address - Phone:914-327-2700
Practice Address - Fax:914-302-8800
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT75435207SG0201X
NY320307207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)