Healthcare Provider Details

I. General information

NPI: 1790780633
Provider Name (Legal Business Name): LLOYD RAY HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HUDSON COMMUNITY OPHTHALMOLOGY, P.C. 1983 CROMPOND ROAD
CORTLANDT MANOR NY
10567-4121
US

IV. Provider business mailing address

1983 CROMPOND RD
CORTLANDT MANOR NY
10567-4121
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-6360
  • Fax: 914-736-7935
Mailing address:
  • Phone: 914-739-8793
  • Fax: 914-739-8960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number101443
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: