Healthcare Provider Details

I. General information

NPI: 1518282888
Provider Name (Legal Business Name): STEVEN HOFFMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 ELM AVE
BROOKLYN NY
11230-5217
US

IV. Provider business mailing address

764 FLANDERS DR
VALLEY STREAM NY
11581-3123
US

V. Phone/Fax

Practice location:
  • Phone: 718-339-4483
  • Fax:
Mailing address:
  • Phone: 516-791-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number034124
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: