Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 170711 | NY |
NPI | 1437150513 |
---|---|
Provider Name | Dr. Alan Kaufman |
First Address | Bronx, NY 10465-2030 |
Second Address | Bronx, NY 10465-2030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 26/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11F232 | PTAN (01) | NY |
C30172 | (02) |