Individual
COLLEEN LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
335 LENOX AVE, NEW YORK, NY 10027-3703
(570) 241-8341
Mailing address
4120 55TH ST APT 5, WOODSIDE, NY 11377-4623
(570) 241-8341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059065
NY
Other
Enumeration date
06/12/2015
Last updated
07/21/2022
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