Individual
DR. TODD R WALDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17 MILLER DRIVE, CROWN POINT, NY 12928-2539
(518) 526-9996
(518) 240-4172
Mailing address
17 MILLER DRIVE, CROWN POINT, NY 12928-2539
(518) 526-9996
(518) 240-4987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
217602
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
217602
NY
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
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