Individual
DR. JAMIE KOUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W 57TH ST, SUITE 1203, NEW YORK, NY 10019-3211
(212) 463-8014
(212) 757-0677
Mailing address
200 WEST 57TH STREET, SUITE 1203, NEW YORK, NY 10019
(212) 463-8014
(212) 757-0677
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22759
NC
207Y00000X
Otolaryngology Physician
Primary
2401221
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
22759
NC
Other
Enumeration date
11/30/2005
Last updated
02/02/2010
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