Healthcare Provider Details

I. General information

NPI: 1033045810
Provider Name (Legal Business Name): STEVEN PHILIP KAUFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 ROUTE 52 STE 200
FISHKILL NY
12524-3255
US

IV. Provider business mailing address

20214 TOWN CENTER DR
POUGHKEEPSIE NY
12603-1713
US

V. Phone/Fax

Practice location:
  • Phone: 845-897-9500
  • Fax:
Mailing address:
  • Phone: 845-489-4472
  • Fax: 845-489-4472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011395
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: