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NPI 1134440068

NPI 1134440068 : DEBRA HOFFMAN P.A. : LYNBROOK, NY

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General NPI Number Information
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    NPI Number           |    1134440068
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA HOFFMAN P.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2010
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    444 MERRICK RD 
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    City                 |    LYNBROOK
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    State                |    NY
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    Zip                  |    11563-2460
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    Country              |    US
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    Telephone            |    516-536-2800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    129 JACKSON ST 
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    City                 |    HEMPSTEAD
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    State                |    NY
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    Zip                  |    11550-2412
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    013974
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    License Number State |    NY
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