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Individual

CARLY BLAIR HOFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
825 W END AVE, NEW YORK, NY 10025-5349
(212) 662-9200
Mailing address
40 MANORS DR, JERICHO, NY 11753-1729
(516) 822-4124

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
08/21/2012
Last updated
08/21/2012
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