Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F000330-1 | NY |
NPI | 1003834482 |
---|---|
Provider Name | Patricia Loftman |
First Address | New York, NY 10025-6450 |
Second Address | New York, NY 10025-6450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |