Provider Demographics
NPI:1538267380
Name:LULOFF, PHILIP BARRIE (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:BARRIE
Last Name:LULOFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:240 CENTRAL PARK SOUTH
Mailing Address - Street 2:SUITE 93
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1453
Mailing Address - Country:US
Mailing Address - Phone:212-757-6650
Mailing Address - Fax:212-246-3691
Practice Address - Street 1:240 CENTRAL PARK SOUTH
Practice Address - Street 2:SUITE 40
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1453
Practice Address - Country:US
Practice Address - Phone:212-757-6650
Practice Address - Fax:212-246-3691
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY126341-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B12990Medicare UPIN
NY322031Medicare ID - Type Unspecified