Provider Demographics
NPI:1679952246
Name:KAUFMAN, YARDANA S (MD)
Entity type:Individual
Prefix:
First Name:YARDANA
Middle Name:S
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ZUCKER HILLSIDE HOSPITAL
Mailing Address - Street 2:75-59 263RD STREET
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004
Mailing Address - Country:US
Mailing Address - Phone:718-470-8005
Mailing Address - Fax:718-962-7717
Practice Address - Street 1:ZUCKER HILLSIDE HOSPITAL
Practice Address - Street 2:75-59 263RD STREET
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004
Practice Address - Country:US
Practice Address - Phone:718-470-8005
Practice Address - Fax:718-962-7717
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3017792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRES000Medicare UPIN