Individual
DR. WALTER ERNST KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 E MAIN ST, COMMUNITY MEDICAL CARE, PORT JERVIS, NY 12771-2113
(845) 858-2666
(845) 858-2662
Mailing address
20 GRAND STREET, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 987-3920
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
149887
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00722656
—
NY
Enumeration date
09/13/2005
Last updated
09/24/2010
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