MEDICARE: DR. DEBRA KAUFMAN STRAUSS MD

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
1	207RI0200X	Infectious Disease Physician	172338	NY
2	207RI0200X	Infectious Disease Physician	MA57633	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841294311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA KAUFMAN STRAUSS MD

Provider Business Mailing Address
First Line	:	PO BOX 585
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-0585
Country	:	US
Telephone Number	:	845-634-1871
Fax Number	:	845-634-1001

Provider Business Practice Location Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	STE 206
City	:	POMONA
State	:	NY
Zip	:	10970-3560
Country	:	US
Telephone Number	:	845-634-1871
Fax Number	:	845-354-4104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2005
Last Update Date	:	04/26/2017

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