MEDICARE: DR. STEVEN CARL KAUFMAN DDS

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	1223G0001X	General Practice Dentistry	033682	NY

General Provider Information

NPI Number	:	1740270784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN CARL KAUFMAN DDS

Provider Business Mailing Address
First Line	:	11 HOWARD CT
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-3200
Country	:	US
Telephone Number	:	212-795-8070
Fax Number	:

Provider Business Practice Location Address
First Line	:	4211 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-3747
Country	:	US
Telephone Number	:	212-795-8070
Fax Number	:

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	07/08/2007

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