Kaufman, Richard Mark
Kaufman, Richard Mark is an individual health care provider with primary practice located at 15 Glen St Ste 205, Glen Cove NY 11542-2782. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kaufman, Richard Mark can be contacted via phone (516) 671-3755.Contact Information
Primary practice address
15 Glen St Ste 205
Glen Cove NY 11542-2782
Phone: (516) 671-3755
Fax: (516) 671-6453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 033109 | New York |
Profile Details
| NPI number | 1255321477 |
|---|---|
| LBN Legal business name | Kaufman, Richard Mark |
| Credentials | DDS PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255321477 | NPPES |
| New York | MEDICAID | 00387971 |
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