| Bernard Hoffman M.d. P.c. | |
|
12 Faulkner Ln Dix Hills NY 11746-5906 | |
| (631) 549-1567 | |
| (631) 549-1567 |
| Full Name | Bernard Hoffman M.d. P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Faulkner Ln, Dix Hills, New York |
| Authorized Official Name and Position | Bernard Hoffman (PRESIDENT) |
| Authorized Official Contact | 6315491567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard Hoffman M.d. P.c. 12 Faulkner Ln Dix Hills NY 11746-5906 Ph: (631) 549-1567 | Bernard Hoffman M.d. P.c. 12 Faulkner Ln Dix Hills NY 11746-5906 Ph: (631) 549-1567 |
| NPI Number | 1225308778 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 02/07/2012 |
| Medicare PECOS PAC ID | 9335306067 |
|---|---|
| Medicare Enrollment ID | O20120207000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225308778 | NPI | - | NPPES |
| 588781 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 104064 (New York) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 104064 (New York) | Secondary |
| Provider Name | Bernard Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689635815 PECOS PAC ID: 2769649490 Enrollment ID: I20120207000620 |
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