| Janis Hoffman Lcsw ,pllc | |
|
2171 Jericho Tpke Ste 335 Commack NY 11725-2947 | |
| (917) 596-1040 | |
| Not Available |
| Full Name | Janis Hoffman Lcsw ,pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2171 Jericho Tpke Ste 335, Commack, New York |
| Authorized Official Name and Position | Janis Hoffman (OWNER) |
| Authorized Official Contact | 9175961040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janis Hoffman Lcsw ,pllc 5 Priory Ct Melville NY 11747-3914 Ph: (917) 596-1040 | Janis Hoffman Lcsw ,pllc 2171 Jericho Tpke Ste 335 Commack NY 11725-2947 Ph: (917) 596-1040 |
| NPI Number | 1194215632 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 2163766171 |
|---|---|
| Medicare Enrollment ID | O20181203001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194215632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R058833-1 (New York) | Primary |
| Provider Name | Janis A Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184983835 PECOS PAC ID: 7810150976 Enrollment ID: I20120530000127 |
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