Individual
HEATHER KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0034
(716) 323-0292
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0034
(716) 323-0292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
194979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010088301
UNIVERA
NY
01
—
000524350001
BC/BS
NY
01
—
0018775880001
PA MEDICAID
NY
05
—
01477632
—
NY
01
—
040426000235
FIDELIS
NY
01
—
080407000097
FIDELIS
NY
01
—
1206321
IHA
NY
Enumeration date
09/14/2006
Last updated
12/31/2020
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