Courtney Maureen Loftus, PA-C, ATC
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1508245366
StatusActive
Last updated in NPPESMar 31, 2023
Details
- NPI
- 1508245366
- Entity type
- Individual (NPI-1)
- Name
- Ms. Courtney Maureen Loftus
- Credential
- PA-C, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2015
- Certification date
- Mar 31, 2023
- Last updated
- Mar 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 022970 | NY | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT005682 | PA | |
| 363A00000X | Physician Assistant | – | – | |
| 363A00000X | Physician Assistant | 1146529 | NY |
Practice location
176 3rd AveNew York, NY 10003-2520
Phone 800-321-9999
Mailing address
925 Chestnut St Fl 5Philadelphia, PA 19107-4290
Other practice locations
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