MEDICARE: DR. STEPHANIE ILENE HOCHMAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	NJ02472	NJ
2	213EP1101X	Primary Podiatric Medicine Podiatrist	0005696	NY

General Provider Information

NPI Number	:	1790726370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE ILENE HOCHMAN DPM

Provider Business Mailing Address
First Line	:	2747 CRESCENT ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3142
Country	:	US
Telephone Number	:	718-956-0700
Fax Number	:	718-956-4582

Provider Business Practice Location Address
First Line	:	2747 CRESCENT ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3142
Country	:	US
Telephone Number	:	718-956-0700
Fax Number	:	718-956-4582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	05/06/2025

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