Individual
DR. NICOLE JORDAN HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4200 SUNRISE HWY STE 1, MASSAPEQUA, NY 11758-5353
(516) 547-1064
Mailing address
4200 SUNRISE HWY STE 1, MASSAPEQUA, NY 11758-5353
(516) 547-1064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
806600220
DRIVERS LICENSE NUMBER
NY
Enumeration date
02/10/2022
Last updated
10/11/2022
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