Provider Demographics
NPI:1902040868
Name:KAUFER, MARIA DINGLASAN (RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:DINGLASAN
Last Name:KAUFER
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11150 75TH RD
Mailing Address - Street 2:SUITE 35A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6332
Mailing Address - Country:US
Mailing Address - Phone:917-817-5944
Mailing Address - Fax:917-817-5944
Practice Address - Street 1:11150 75TH RD
Practice Address - Street 2:SUITE 35A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6332
Practice Address - Country:US
Practice Address - Phone:917-817-5944
Practice Address - Fax:917-817-5944
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005299-1133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric