Individual
MR. RONALD CHARLES KAUFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, LIAC
Contact information
Practice address
333 ROUTE 25A, SUITE 40, ROCKY POINT, NY 11778-8556
(631) 209-0050
Mailing address
333 ROUTE 25A, SUITE 40, ROCKY POINT, NY 11778-8556
(631) 209-0050
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X004157-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6886K1
EMHP BLUE CROSS
NY
01
—
69877
YTRA HEALTH FOR ACU
NY
Enumeration date
01/31/2007
Last updated
11/28/2011
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