Healthcare Provider Details

I. General information

NPI: 1134440068
Provider Name (Legal Business Name): DEBRA HOFFMAN P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 MERRICK RD
LYNBROOK NY
11563-2460
US

IV. Provider business mailing address

129 JACKSON ST
HEMPSTEAD NY
11550-2412
US

V. Phone/Fax

Practice location:
  • Phone: 516-536-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number013974
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: