Provider Demographics
NPI:1427050764
Name:KAUFMAN, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 E 83RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0459
Mailing Address - Country:US
Mailing Address - Phone:212-737-4911
Mailing Address - Fax:212-249-5328
Practice Address - Street 1:3 E 83RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0459
Practice Address - Country:US
Practice Address - Phone:212-737-4911
Practice Address - Fax:212-249-5328
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1273152080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01751000Medicaid
NY30A753Medicare PIN
NY03807IMedicare PIN
NYC08043Medicare UPIN