Healthcare Provider Details

I. General information

NPI: 1326294877
Provider Name (Legal Business Name): DAVID B. KAUFMAN, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 NETHERLAND AVE SUITE 121
BRONX NY
10463-4801
US

IV. Provider business mailing address

2600 NETHERLAND AVE SUITE 121
BRONX NY
10463-4801
US

V. Phone/Fax

Practice location:
  • Phone: 718-548-1590
  • Fax: 718-601-6206
Mailing address:
  • Phone: 718-548-1590
  • Fax: 718-601-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number142146 1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number142146 1
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID B. KAUFMAN
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 718-548-1590