Organization
BERNARD HOFFMAN M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD HOFFMAN M.D. (PRESIDENT)
(631) 549-1567
Entity
Organization
Contact information
Practice address
12 FAULKNER LN, DIX HILLS, NY 11746-5906
(631) 549-1567
(631) 549-1567
Mailing address
12 FAULKNER LN, DIX HILLS, NY 11746-5906
(631) 549-1567
(631) 549-1567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
104064
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
104064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
588781
MEDICARE PTAN
NY
Enumeration date
12/30/2011
Last updated
02/07/2012
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