Organization
NEW YORK CRITICAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KAUFMAN M.D. (ADMINISTRATOR)
(212) 684-6605
Entity
Organization
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 684-6605
Mailing address
2 RUBINS CT, DIX HILLS, NY 11746-4875
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01738063
—
NY
01
—
NY0W4L5610
BLUE SHIELD
—
Enumeration date
08/14/2006
Last updated
08/02/2007
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