Provider Demographics
NPI:1912909490
Name:SCHLIFSTEIN, TODD R (DO)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:R
Last Name:SCHLIFSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 69TH ST
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5471
Mailing Address - Country:US
Mailing Address - Phone:212-327-1316
Mailing Address - Fax:212-327-1613
Practice Address - Street 1:201 E 69TH ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5471
Practice Address - Country:US
Practice Address - Phone:212-327-1316
Practice Address - Fax:212-327-1613
Is Sole Proprietor?:No
Enumeration Date:2005-08-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2052722081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01984418Medicaid
NY205272-8OtherNYS WORKERS COMPENSATION
NY205272-8OtherNYS WORKERS COMPENSATION
NY26Z022Medicare PIN
NYG96214Medicare UPIN