Healthcare Provider Details

I. General information

NPI: 1881555381
Provider Name (Legal Business Name): ROHAN HOFLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 EASTCHESTER RD APT 17D
BRONX NY
10461-2301
US

IV. Provider business mailing address

1945 EASTCHESTER RD APT 17D
BRONX NY
10461-2111
US

V. Phone/Fax

Practice location:
  • Phone: 718-904-2000
  • Fax:
Mailing address:
  • Phone: 650-353-8460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: