Healthcare Provider Details

I. General information

NPI: 1598194938
Provider Name (Legal Business Name): NEW YORK ALLIED MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-4925
US

IV. Provider business mailing address

279 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-4925
US

V. Phone/Fax

Practice location:
  • Phone: 516-399-2225
  • Fax:
Mailing address:
  • Phone: 516-399-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number151257
License Number StateNY

VIII. Authorized Official

Name: MARK C KAUFMAN
Title or Position: DOCTOR
Credential: MD
Phone: 516-399-2225