Provider Demographics
NPI:1518289974
Name:ORLOFF, SANFORD (RPH)
Entity Type:Individual
Prefix:MR
First Name:SANFORD
Middle Name:
Last Name:ORLOFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 WILLOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1628
Mailing Address - Country:US
Mailing Address - Phone:631-563-4701
Mailing Address - Fax:
Practice Address - Street 1:1944 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-3327
Practice Address - Country:US
Practice Address - Phone:631-667-6547
Practice Address - Fax:631-667-9416
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist