Provider Demographics
NPI:1457401911
Name:COFSKY, RICHARD DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DAVID
Last Name:COFSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:940 EAST 27TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210
Mailing Address - Country:US
Mailing Address - Phone:718-258-7281
Mailing Address - Fax:718-258-4581
Practice Address - Street 1:BROOKDALE HOSPITAL
Practice Address - Street 2:1 BROOKDALE PLAZA
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5096
Practice Address - Fax:718-258-4581
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY140634207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00592085Medicaid
B10908Medicare UPIN
20A921Medicare ID - Type Unspecified