Healthcare Provider Details

I. General information

NPI: 1598025702
Provider Name (Legal Business Name): ALISON LYNN HOFFMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 PARK AVE STE 203
HUNTINGTON NY
11743-3912
US

IV. Provider business mailing address

133 LIVINGSTON AVE
BABYLON NY
11702
US

V. Phone/Fax

Practice location:
  • Phone: 631-425-2280
  • Fax:
Mailing address:
  • Phone: 631-376-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336928-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: