Provider Demographics
NPI:1740376615
Name:DARLOW, LLOYD A (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:A
Last Name:DARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4562
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14852-4562
Mailing Address - Country:US
Mailing Address - Phone:607-227-3359
Mailing Address - Fax:
Practice Address - Street 1:40 CATHERWOOD RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1056
Practice Address - Country:US
Practice Address - Phone:607-339-0494
Practice Address - Fax:607-216-0918
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217039207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY02079541Medicaid
NYCC1455Medicare PIN
NYNY02079541Medicaid