Provider Demographics
NPI:1841294311
Name:STRAUSS, DEBRA KAUFMAN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:KAUFMAN
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 585
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-0585
Mailing Address - Country:US
Mailing Address - Phone:845-634-1871
Mailing Address - Fax:845-634-1001
Practice Address - Street 1:11 MEDICAL PARK DR
Practice Address - Street 2:STE 206
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3560
Practice Address - Country:US
Practice Address - Phone:845-634-1871
Practice Address - Fax:845-354-4104
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-11
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172338207RI0200X
NJMA57633207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6120601Medicaid
NY01286740Medicaid
NY23K531Medicare ID - Type Unspecified
NY01286740Medicaid
NJ6120601Medicaid