Healthcare Provider Details

I. General information

NPI: 1720317860
Provider Name (Legal Business Name): JOSEPH CHARLES HOFFMAN CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 SUNSET AVE
FARMINGDALE NY
11735-5360
US

IV. Provider business mailing address

71 SUNSET AVE
FARMINGDALE NY
11735-5360
US

V. Phone/Fax

Practice location:
  • Phone: 516-850-1873
  • Fax:
Mailing address:
  • Phone: 516-850-1873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number015415
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: