Individual
DR. MICHAEL L HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 NORTHERN BLVD, SUITE 107, GREAT NECK, 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
—
1831190008
NATIONAL PROVIDER IDENTIFIER-NPI
NY
01
—
82V28J6351
MEDICARE PTAN
NY
Enumeration date
08/09/2005
Last updated
06/10/2020
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