Individual
LAWRENCE S KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2020
Mailing address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2020
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
194268
NY
207YS0123X
Facial Plastic Surgery Physician
194268-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740147
—
NY
01
—
P00147374
RR MEDICARE
NY
Enumeration date
07/07/2005
Last updated
10/03/2019
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