Provider Demographics
NPI:1790726370
Name:HOCHMAN, STEPHANIE ILENE (DPM)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ILENE
Last Name:HOCHMAN
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3142
Mailing Address - Country:US
Mailing Address - Phone:718-956-0700
Mailing Address - Fax:718-956-4582
Practice Address - Street 1:2747 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3142
Practice Address - Country:US
Practice Address - Phone:718-956-0700
Practice Address - Fax:718-956-4582
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ02472213EP1101X
NY0005696213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ011870Medicare PIN
NJU72805Medicare UPIN