Provider Demographics
NPI:1497180194
Name:HOFFMAN, DIANE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2118
Mailing Address - Country:US
Mailing Address - Phone:845-641-8946
Mailing Address - Fax:
Practice Address - Street 1:2 SPRUCE LN
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2118
Practice Address - Country:US
Practice Address - Phone:845-641-8946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014132-1225100000X
NJ40QA00530200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist