1326294877 NPI number — DAVID B. KAUFMAN, MD PC

Table of content: (NPI 1326294877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326294877 NPI number — DAVID B. KAUFMAN, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID B. KAUFMAN, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326294877
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2600 NETHERLAND AVE
Provider Second Line Business Mailing Address:
SUITE 121
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10463-4801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-548-1590
Provider Business Mailing Address Fax Number:
718-601-6206

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 NETHERLAND AVE
Provider Second Line Business Practice Location Address:
SUITE 121
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10463-4801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-548-1590
Provider Business Practice Location Address Fax Number:
718-601-6206
Provider Enumeration Date:
08/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KAUFMAN
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
718-548-1590

Provider Taxonomy Codes

  • Taxonomy code: 207UN0901X , with the licence number:  142146 1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 142146 1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0007122 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3C5070 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P840679 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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