Provider Demographics
NPI:1801981683
Name:KAUFMANN, CHERYL SUE (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:SUE
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4370 KISSENA BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3769
Mailing Address - Country:US
Mailing Address - Phone:718-353-5970
Mailing Address - Fax:718-886-3299
Practice Address - Street 1:4370 KISSENA BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3769
Practice Address - Country:US
Practice Address - Phone:718-353-5970
Practice Address - Fax:718-886-3299
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY117111207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12395Medicare UPIN
NY0990320001Medicare NSC