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NPI Code Detail

MEDICARE: MS. REBECCA SUSAN KAUFMAN M.S.ED.

MEDICARE: MS. REBECCA SUSAN KAUFMAN M.S.ED.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1831452705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA SUSAN KAUFMAN M.S.ED.
Provider Business Mailing Address
First Line : 92 GANSEVOORT BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-4026
Country : US
Telephone Number : 718-761-7944
Fax Number :
Provider Business Practice Location Address
First Line : 92 GANSEVOORT BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-4026
Country : US
Telephone Number : 718-761-7944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2012
Last Update Date : 06/16/2012

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