Provider Demographics
NPI:1770644486
Name:LOFTUS, TODD PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:PATRICK
Last Name:LOFTUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:#566
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-4115
Mailing Address - Fax:212-746-8415
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:#566
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-4115
Practice Address - Fax:212-746-8415
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2226792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
436BC1Medicare PIN