Kaufman, Bradley D

Kaufman, Bradley D is an individual health care provider with primary practice located at 925 E Henrietta Rd , Rochester NY 14623-1409. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kaufman, Bradley D can be contacted via phone (585) 424-6400.

Contact Information

Primary practice address
925 E Henrietta Rd Rochester NY 14623-1409
Fax: (585) 424-6426
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 042022 New York

Profile Details

NPI number 1942204714
LBN Legal business name Kaufman, Bradley D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942204714 NPPES
New York Other 70385 EXCELLUS BLUE SHIELD

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