Healthcare Provider Details

I. General information

NPI: 1265510259
Provider Name (Legal Business Name): ALLEN M KAUFMAN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E 26TH ST APT 13E
NEW YORK NY
10010-1445
US

IV. Provider business mailing address

PO BOX 563
SEDONA AZ
86339-0563
US

V. Phone/Fax

Practice location:
  • Phone: 212-427-7250
  • Fax: 212-301-7163
Mailing address:
  • Phone: 262-788-9229
  • Fax: 262-788-9241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN M KAUFMAN
Title or Position: OWNER
Credential: M.D.
Phone: 212-427-7250