Healthcare Provider Details

I. General information

NPI: 1427965458
Provider Name (Legal Business Name): JESSICA HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3648 SENECA ST
WEST SENECA NY
14224-3400
US

IV. Provider business mailing address

97 NORTHAMPTON ST
BUFFALO NY
14209-2119
US

V. Phone/Fax

Practice location:
  • Phone: 716-771-1354
  • Fax:
Mailing address:
  • Phone: 808-352-8926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberP145003
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: