Provider Demographics
NPI:1831413756
Name:LIFFORD, WILLIAM ANDREW (CP)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ANDREW
Last Name:LIFFORD
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:516 MINEOLA AVE
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1716
Mailing Address - Country:US
Mailing Address - Phone:516-338-8585
Mailing Address - Fax:516-338-7575
Practice Address - Street 1:516 MINEOLA AVE
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1716
Practice Address - Country:US
Practice Address - Phone:516-338-8585
Practice Address - Fax:516-338-7575
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management