Provider Demographics
NPI:1437719911
Name:LOEFFEL, MARIE CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:CHRISTINE
Last Name:LOEFFEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MORNING GLORY RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-2424
Mailing Address - Country:US
Mailing Address - Phone:516-796-2064
Mailing Address - Fax:
Practice Address - Street 1:2044 ELLIOT PL
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2703
Practice Address - Country:US
Practice Address - Phone:516-398-9404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist