Healthcare Provider Details

I. General information

NPI: 1093247363
Provider Name (Legal Business Name): DANIEL KAUFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 10TH AVENUE MAIMONIDES MEDICAL CENTER
BROOKLYN NY
11219
US

IV. Provider business mailing address

4802 10TH AVENUE MAIMONIDES MEDICAL CENTER
BROOKLYN NY
11219
US

V. Phone/Fax

Practice location:
  • Phone: 631-960-1412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number317291
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number317291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: