Organization
KOUFMAN MEDICINE OF NY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KOUFMAN MD (PRESIDENT)
(212) 463-8014
Entity
Organization
Contact information
Practice address
200 W 57TH ST, SUITE 1103, NEW YORK, NY 10019-3211
(646) 707-0684
(646) 707-0470
Mailing address
200 W 57TH ST, SUITE 1103, NEW YORK, NY 10019-3211
(646) 707-0684
(646) 707-0470
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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