Healthcare Provider Details

I. General information

NPI: 1902789977
Provider Name (Legal Business Name): MORGAN HOFLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 MIDDLE COUNTRY RD
SELDEN NY
11784-2514
US

IV. Provider business mailing address

84 ARPAGE DR E
SHIRLEY NY
11967-3808
US

V. Phone/Fax

Practice location:
  • Phone: 631-732-0700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number014849
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: