MEDICARE: KOFMAN MEDICAL SERVICES PC

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	208000000X	Pediatrics Physician		NY

General Provider Information

NPI Number	:	1093899650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOFMAN MEDICAL SERVICES PC

Provider Business Mailing Address
First Line	:	2748 OCEAN AVE APT 6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4735
Country	:	US
Telephone Number	:	718-376-1325
Fax Number	:	718-376-0400

Provider Business Practice Location Address
First Line	:	2748 OCEAN AVE APT 6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4735
Country	:	US
Telephone Number	:	718-376-1325
Fax Number	:	718-376-0400

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NATALYA KOFMAN
Credential	:	DO
Telephone Number	:	718-376-1325

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	11/14/2025

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