Provider Demographics
NPI:1902030422
Name:KOFINAS, JASON D (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:D
Last Name:KOFINAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:65 BROADWAY
Mailing Address - Street 2:FLOOR 14
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006
Mailing Address - Country:US
Mailing Address - Phone:212-348-4000
Mailing Address - Fax:212-348-4001
Practice Address - Street 1:65 BROADWAY
Practice Address - Street 2:FLOOR 14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006
Practice Address - Country:US
Practice Address - Phone:212-348-4000
Practice Address - Fax:212-348-4001
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY263117207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology