Individual
HOWARD JAY HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 CORNAGA AVE, FAR ROCKAWAY, NY 11691
(718) 337-9800
Mailing address
916 CORNAGA AVE, FAR ROCKAWAY, NY 11691-5002
(718) 337-9800
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
124097
NY
207R00000X
Internal Medicine Physician
124097
NY
207RH0003X
Hematology & Oncology Physician
Primary
124097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441974
—
NY
01
—
12770
GHI MEDICARE
NY
01
—
26A511
EMPIRE MEDICARE
NY
Enumeration date
02/21/2007
Last updated
11/07/2018
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