Organization
BAY RHEUMATOLOGY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L HOFFMAN M.D. (PHYSICIAN)
(516) 498-3500
Entity
Organization
Contact information
Practice address
560 NORTHERN BLVD, SUITE 107, GREATNECK, NY 11021-5113
(516) 498-3500
(516) 498-3517
Mailing address
560 NORTHERN BLVD, SUITE 107, GREAT NECK, NY 11021-5113
(516) 498-3500
(516) 498-3517
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
096586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508852179
NATIONAL PROVIDER IDENTIFIER-NPI
NY
01
—
WJ6351
MEDICARE PTAN
NY
Enumeration date
09/20/2005
Last updated
06/10/2020
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