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NPI Code Detail

MEDICARE: DANIELLE KOFMAN PHARMD

MEDICARE:   DANIELLE  KOFMAN  PHARMD
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
1183500000XPharmacist071783NY

General Provider Information

NPI Number : 1407689029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE KOFMAN PHARMD
Provider Business Mailing Address
First Line : 2821 W 12TH ST APT 15D
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-3106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-3825
Country : US
Telephone Number : 718-373-4100
Fax Number : 718-373-4114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 08/20/2024

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Directions to “ DANIELLE KOFMAN PHARMD” Practice Location

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