Doctor Name: | WILLIAM ANDREW LIFFORD |
NPI Number: | 1831413756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.P. |
License Number: | |
Business Practice Address: | 516 Mineola Ave Carle Place, NY - 115141716 |
Business Phone Number: | 5163388585 |
Business Fax Number: | 5163387575 |
Mailing Address: | 516 Mineola Ave, CARLE PLACE |
State: | NY |
Postal Code: | 115141716 |
Phone Number: | 5163388585 |
Fax Number: | 5163387575 |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |