Provider Demographics
NPI:1164509394
Name:JEFFREY A TODD PATRICIA LYNN WARSKI DPMS PLLC
Entity Type:Organization
Organization Name:JEFFREY A TODD PATRICIA LYNN WARSKI DPMS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:607-334-4414
Mailing Address - Street 1:85 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1741
Mailing Address - Country:US
Mailing Address - Phone:607-334-4414
Mailing Address - Fax:
Practice Address - Street 1:85 S BROAD ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1741
Practice Address - Country:US
Practice Address - Phone:607-334-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5963840001Medicare NSC