Provider Demographics
NPI:1700118841
Name:LUFTIG, IRWIN GABLE (RPH)
Entity Type:Individual
Prefix:MR
First Name:IRWIN
Middle Name:GABLE
Last Name:LUFTIG
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 1:200 ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5009
Mailing Address - Country:US
Mailing Address - Phone:845-357-5200
Mailing Address - Fax:845-357-0399
Practice Address - Street 1:200 ROUTE 59
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5009
Practice Address - Country:US
Practice Address - Phone:845-357-5200
Practice Address - Fax:845-357-0399
Is Sole Proprietor?:No
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist