Individual
MITCHELL GLENN KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3419 AVENUE S, BROOKLYN, NY 11234-4825
(347) 351-2334
Mailing address
1824 MADISON PL, BROOKLYN, NY 11229-2630
(347) 351-2334
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6896-1
NY
Other
Enumeration date
04/25/2012
Last updated
08/17/2015
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