Provider Demographics
NPI:1689868820
Name:DAVID LOTFI, MD, PC
Entity Type:Organization
Organization Name:DAVID LOTFI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-935-5313
Mailing Address - Street 1:188 WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3024
Mailing Address - Country:US
Mailing Address - Phone:516-935-5313
Mailing Address - Fax:
Practice Address - Street 1:188 WOODBURY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3024
Practice Address - Country:US
Practice Address - Phone:516-935-5313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176956207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty