Kaufmann, Walter Ernst

Kaufmann, Walter Ernst is an individual health care provider with primary practice located at 161 E Main St Community Medical Care, Port Jervis NY 12771-2113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kaufmann, Walter Ernst can be contacted via phone (845) 858-2666.

Contact Information

Primary practice address
161 E Main St Community Medical Care Port Jervis NY 12771-2113
Phone: (845) 858-2666
Fax: (845) 858-2662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 149887 New York

Profile Details

NPI number 1083609366
LBN Legal business name Kaufmann, Walter Ernst
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 24th, 2010 - about 14 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 1083609366 NPPES
New York MEDICAID 00722656

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