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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TODD R WALDORF, D.O.

Active Sole Proprietor

DR. TODD R WALDORF, D.O. is a Electrodiagnostic Medicine healthcare provider located in CROWN POINT, New York. NPI 1770585101 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · CROWN POINT, NY

Registration Details

NPI Number
1770585101
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2005 (21.019710470639 yrs)
Last Updated
Jun 24, 2020
Licenses
217602 (NY)
217602 (NY)
217602 (NY)
032.0117498 (VT)
217602 (NY)
Sole Proprietor
Yes

Practice Information

Address
17 MILLER DRIVE
CROWN POINT, NY, 129282539
Browse NY providers · Browse ZIP 12928
Phone
5185269996
Fax
5182404172
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Family Medicine
Additional Specialty
Hospitalist
Additional Specialty
Hospitalist
Additional Specialty
Electrodiagnostic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.