Provider Demographics
NPI:1679780811
Name:HOFFMANN, ALISON J (AUD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:J
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 WILLIS AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1213
Mailing Address - Country:US
Mailing Address - Phone:516-484-0811
Mailing Address - Fax:718-514-7403
Practice Address - Street 1:1163 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1213
Practice Address - Country:US
Practice Address - Phone:516-484-0811
Practice Address - Fax:516-484-2205
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0014042231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
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64000476OtherMEDICARE RAILROAD
204684POtherHIP
2193853OtherUNITED HEALTHCARE
02161OtherHEAR PO
139377OtherVYTRA
4899783OtherGHI
010555483OtherCIGNA
2993896OtherAETNA HMO
M71851OtherBLUE CROSS BLUE SHIELD
P2578169OtherOXFORD
204684POtherHIP