Provider Demographics
NPI:1194431205
Name:KAUFFMAN, DANIELLE (MS, RD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ALPINE DR APT B
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5222
Mailing Address - Country:US
Mailing Address - Phone:845-401-9274
Mailing Address - Fax:
Practice Address - Street 1:16 ALPINE DR APT B
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-5222
Practice Address - Country:US
Practice Address - Phone:845-401-9274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD006287133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered