Provider Demographics
NPI:1821337254
Name:HOFSISS, NANCY JEAN (OTR)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEAN
Last Name:HOFSISS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CROSS ST
Mailing Address - Street 2:#108
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4622
Mailing Address - Country:US
Mailing Address - Phone:845-533-4121
Mailing Address - Fax:
Practice Address - Street 1:3 CROSS ST
Practice Address - Street 2:#108
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4622
Practice Address - Country:US
Practice Address - Phone:845-533-4121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00431000225X00000X
NY003746225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist