Individual
DR. JACK KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 ROUTE 59, SUFFERN, NY 10901-5204
(845) 357-1976
(845) 369-0654
Mailing address
222 ROUTE 59, SUFFERN, NY 10901-5204
(845) 357-1976
(845) 369-0654
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034097
NY
Other
Enumeration date
07/26/2006
Last updated
05/30/2008
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