Individual
GLENN KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 NORTHERN BLVD, SUITE 220, GREAT NECK, NY 11021
(516) 466-0778
(516) 466-0825
Mailing address
900 NORTHERN BLVD, SUITE 220, GREAT NECK, NY 11021
(516) 466-0778
(516) 466-0825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
154582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116243
AETNA
—
01
—
0298172
GHI
—
01
—
P2751140
OXFORD
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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