Provider Demographics
NPI:1801897491
Name:HOFILENA, CELSO A JR (MD)
Entity type:Individual
Prefix:DR
First Name:CELSO
Middle Name:A
Last Name:HOFILENA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1770 MOTOR PKWY
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5260
Mailing Address - Country:US
Mailing Address - Phone:631-434-1770
Mailing Address - Fax:631-234-6175
Practice Address - Street 1:5505 NESCONSET HWY
Practice Address - Street 2:
Practice Address - City:MT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2037
Practice Address - Country:US
Practice Address - Phone:631-434-1770
Practice Address - Fax:631-234-6175
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY199883208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG20067Medicare UPIN