MEDICARE: MRS. LOUISE EILEEN KAUFMANN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	152040	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2K3201	OTHER	NY	EMPIRE BC/BS
2	P2524620	OTHER	NY	OXFORD

General Provider Information

NPI Number	:	1053319152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOUISE EILEEN KAUFMANN M.D.

Provider Business Mailing Address
First Line	:	308 PARK RD
Second Line	:
City	:	SOUTH BURLINGTON
State	:	VT
Zip	:	05403-7526
Country	:	US
Telephone Number	:	516-297-5289
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 REILLY BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-5105
Country	:	US
Telephone Number	:	516-297-5289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	04/06/2026

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Directions to “ MRS. LOUISE EILEEN KAUFMANN M.D.” Practice Location

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