Provider Demographics
NPI:1235271875
Name:HOFFMAN, TODD A (MS PT)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
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Mailing Address - Street 1:1470 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-6021
Mailing Address - Country:US
Mailing Address - Phone:631-446-1480
Mailing Address - Fax:631-446-1480
Practice Address - Street 1:21 BARSTOW RD
Practice Address - Street 2:APT 2G
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2215
Practice Address - Country:US
Practice Address - Phone:516-708-9405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist