# DR. TODD R WALDORF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770585101
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 217602 | NY | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 217602 | NY | Yes |
| 207Q00000X | Family Medicine Physician | 217602 | NY | — |
| 208M00000X | Hospitalist Physician | 032.0117498 | VT | — |
| 208M00000X | Hospitalist Physician | 217602 | NY | — |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 06/24/2020